Modern Mommy Boutique

LBN: Modern Mommy Boutique
Modern Mommy Boutique is an health care organization with primary practice located at 3355 W Chandler Blvd Ste 3 , Chandler AZ 85226-5096. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Modern Mommy Boutique can be contacted via phone (480) 857-7187, or through Heiden, Talisha Rene via phone (480) 857-7187.

Contact Information

Primary practice address
3355 W Chandler Blvd Ste 3 Chandler AZ 85226-5096
Phone: (480) 857-7187
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heiden, Talisha Rene
Phone: (480) 857-7187

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1518392430
LBN Legal business name Modern Mommy Boutique
DBA Doing business as
Authorized official Heiden, Talisha Rene
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 13 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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