Organization
LADIES HEALTH BOUTIQUE, INC
Active
Parent organization
LADIES HEALTH BOUTIQUE, INC
Other names
FOR LADIES ONLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LADIES HEALTH BOUTIQUE, INC
Authorized official
MRS. CAROL S MORGAN (PRESIDENT)
(205) 979-4377
Entity
Organization
Contact information
Practice address
3608 HIGHWAY 78 E, JASPER, AL 35501-8909
(205) 221-7157
(205) 221-7159
Mailing address
3608 HYW 118E, JASPER, AL 35504
(205) 221-7157
(205) 822-5341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981090
—
AL
01
—
51031506
BSBC
AL
Enumeration date
04/23/2009
Last updated
03/15/2010
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