A SPECIAL PLACE WIG BOUTIQUE LLC NPI 1013362896

NPI Information

NPI: 1013362896
Provider Name: A SPECIAL PLACE WIG BOUTIQUE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Other Name: A SPECIAL PLACE
Address: 5524 WILLIAMSON RD
SUITE 6
ROANOKE, VA
ZIP 24012
Phone: (540) 265-2960

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NPI Details

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		100033237	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1629029848	OTHER	NORTH CAROLINA	STATE OF NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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