Premier Mastectomy Vendor Llc

LBN: Premier Mastectomy Vendor Llc
Premier Mastectomy Vendor Llc is an health care organization with primary practice located at 5911 Monticello Dr Ste B , Montgomery AL 36117-1940. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter is the primary health care specialty. Premier Mastectomy Vendor Llc can be contacted via phone (629) 279-5720, or through Bean, Jasmine via phone (629) 279-5270.

Contact Information

Primary practice address
5911 Monticello Dr Ste B Montgomery AL 36117-1940
Phone: (629) 279-5720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bean, Jasmine
Phone: (629) 279-5270

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1699458380
LBN Legal business name Premier Mastectomy Vendor Llc
DBA Doing business as
Authorized official Bean, Jasmine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2023
Last updated Dec 20th, 2023 - about 2 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.

Request for update

Popular Providers