Magnolias Post-Mastectomy Boutique LLC
NPI #1720229859 in Mooresville, Indiana
Provider Information
- NPI Number
- 1720229859
- Entity Type
- Organization
- Organization Name
- Magnolias Post-Mastectomy Boutique LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 19, 2009
- Last Updated
- Mar 19, 2009
Practice Location
- Address
- 625 S STATE ROAD 67
- City
- Mooresville
- State
- Indiana
- ZIP Code
- 46158-2797
- Phone
- (317) 831-3220
Authorized Official
- Name
- CHERRYL A JEDELE
- Title
- SINGLE MEMBER / OWNER
- Phone
- (317) 831-3220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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