Organization
DELORES'SURVIVOR'SWIG&FORMBOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES LYNCH (OWNER/FITTER)
(508) 674-3800
Entity
Organization
Contact information
Practice address
1162 GAR HIGHWAY, UNIT 11, SWANSEA, MA 02777-4225
(508) 674-3800
(508) 675-9745
Mailing address
1162 GAR HIGHWAY, UNIT 11, SWANSEA, MA 02777-4225
(508) 674-3800
(508) 675-9745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MA
Other
Enumeration date
01/24/2008
Last updated
04/30/2021
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