PARK PLACE DECLARANT NPI 1487896114

NPI Information

PARK PLACE DECLARANT is a hearing aid equipment in Lake Havasu City, AZ. The provider is the manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. PARK PLACE DECLARANT NPI is 1487896114. The provider is registered as an organization entity type.
The provider Is Doing Business As Fabulous Hearing.

The provider's business location address is:

2105 MCCULLOCH BLVD N
#2
LAKE HAVASU CITY, AZ
ZIP 86403-772
Phone: (702) 807-7931
Fax: (702) 398-3757

The provider's authorized official is Suzanne Kelly .
The authorized official title is Owner and has the following contact phone number (702) 807-7931.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 3/26/2009.

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:

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