Organization · NPI-2

Bombeauty Supply And Salon

Durable Medical Equipment & Medical Supplies · Indianapolis, IN

NPI number1003383233
StatusActive
Last updated in NPPESOct 25, 2018

Details

NPI
1003383233
Entity type
Organization (NPI-2)
Legal business name
Bombeauty Supply And Salon
Organization subpart
No
Enumeration date
Oct 25, 2018
Last updated
Oct 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

3010 Lake Shore Dr Unit A
Indianapolis, IN 46205

Phone 817-721-5008

Mailing address

8421 Weeping Cherry Lane
Ft Worth, TX 76140

Phone 817-721-5008

Authorized official

Andrea Scott
Owner
3175236475

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