A SPECIAL PLACE WIG BOUTIQUE LLC NPI 1013362896

NPI Information

A SPECIAL PLACE WIG BOUTIQUE, LLC is a durable medical equipment medical supplies in Roanoke, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. A SPECIAL PLACE WIG BOUTIQUE, LLC NPI is 1013362896. The provider is registered as an organization entity type.
The provider Other Name Is A Special Place.

The provider's business location address is:

5524 WILLIAMSON RD
SUITE 6
ROANOKE, VA
ZIP 24012-448
Phone: (540) 265-2960
Fax: (540) 265-2970

The provider's authorized official is Jamela A Hodgson .
The authorized official title is Owner and has the following contact phone number (336) 574-0100.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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