Madeline Rose Mastectomy Boutique, Llc
LBN: Madeline Rose Mastectomy Boutique, Llc
Madeline Rose Mastectomy Boutique, Llc is an health care organization with primary practice located at 100 Rano Blvd , Vestal NY 13850-2776. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Madeline Rose Mastectomy Boutique, Llc can be contacted via phone (607) 296-2021, or through Walck, Jamie Leigh via phone (607) 296-2021.
Contact Information
Primary practice address
100 Rano Blvd
Vestal NY 13850-2776
Phone: (607) 296-2021
Fax: (607) 296-2023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1316693765 |
|---|---|
| LBN Legal business name | Madeline Rose Mastectomy Boutique, Llc |
| DBA Doing business as | |
| Authorized official | Walck, Jamie Leigh CMF |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 24th, 2022 |
| Last updated | Jul 26th, 2022 - about 3 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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