Organization · NPI-2
D.D. Daughters Lace Wig Beautique, LLC
Prosthetic/Orthotic Supplier · Willow Grove, PA
NPI number1205375706
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1205375706
- Entity type
- Organization (NPI-2)
- Legal business name
- D.D. Daughters Lace Wig Beautique, LLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2017
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
52 N York Road, SalonWillow Grove, PA 19090
Phone 215-346-2555 · Fax 215-346-2555
Mailing address
402 W Tabor RdPhiladelphia, PA 19120-2810
Phone 267-453-9855
Authorized official
Myisha Daketa Stratton
Cranial Prosthesis Specialist/Owner
2674539855
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