Pansy'S Post Mastectomy Boutique, Inc.
LBN: Pansy'S Post Mastectomy Boutique, Inc.
Pansy'S Post Mastectomy Boutique, Inc. is an health care organization with primary practice located at 100 Redmond Rd Nw , Rome GA 30165-1536. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Pansy'S Post Mastectomy Boutique, Inc. can be contacted via phone (706) 232-6600, or through Goewey, Kenneth David via phone (706) 232-6600.
Contact Information
Primary practice address
100 Redmond Rd Nw
Rome GA 30165-1536
Phone: (706) 232-6600
Fax: (706) 232-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 000484 | Georgia |
Profile Details
| NPI number | 1194904540 |
|---|---|
| LBN Legal business name | Pansy'S Post Mastectomy Boutique, Inc. |
| DBA Doing business as | |
| Authorized official | Goewey, Kenneth David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Sep 12th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194904540 | NPPES |
| Georgia | MEDICAID | 585652876B |
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