Lady Grace Stores, Inc.
NPI #1194952317 in Danvers, Massachusetts
Provider Information
- NPI Number
- 1194952317
- Entity Type
- Organization
- Organization Name
- Lady Grace Stores, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 15, 2009
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 139 ENDICOTT ST
- City
- Danvers
- State
- Massachusetts
- ZIP Code
- 01923-4803
- Phone
- (978) 774-7141
Authorized Official
- Name
- BRUCE I GREEN
- Title
- TREASURER
- Phone
- (781) 322-1721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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