Lady Grace Stores, Inc.

LBN: Lady Grace Stores, Inc.
Lady Grace Stores, Inc. is an health care organization with primary practice located at 343 Gorham Rd , South Portland ME 04106-2317. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Lady Grace Stores, Inc. can be contacted via phone (207) 774-8139, or through Green, Bruce I via phone (781) 322-1721.

Contact Information

Primary practice address
343 Gorham Rd South Portland ME 04106-2317
Phone: (207) 774-8139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Bruce I
Phone: (781) 322-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1700013935
LBN Legal business name Lady Grace Stores, Inc.
DBA Doing business as
Authorized official Green, Bruce I
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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