Organization
FASHION WIG SHOP & GIFTS LLC
Active
Other names
Looks LIke U LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNETTE M MCELVEEN (OWNER/MANGER)
(803) 774-0139
Entity
Organization
Contact information
Practice address
540 BULTMAN DRIVE, SUITE 3, SUMTER, SC 29150-2592
(803) 774-0139
(803) 774-0139
Mailing address
540 BULTMAN DRIVE, SUITE 3, SUMTER, SC 29150-2592
(803) 774-0139
(803) 774-0139
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
20537
SC
Other
Enumeration date
03/18/2010
Last updated
07/26/2011
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