Organization · NPI-2

Anita'S Balm

Durable Medical Equipment & Medical Supplies · Lawrenceville, GA

NPI number1326313172
StatusActive
Last updated in NPPESMar 13, 2012

Details

NPI
1326313172
Entity type
Organization (NPI-2)
Legal business name
Anita'S Balm
Organization subpart
No
Enumeration date
Mar 13, 2012
Last updated
Mar 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

745 Dean Way
Lawrenceville, GA 30044-5835

Phone 770-979-0761

Mailing address

745 Dean Way
Lawrenceville, GA 30044

Phone 770-979-0761

Authorized official

Anita Horning
Owner
7709790761

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