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Divine Beauty Supply Inc
Prosthetic/Orthotic Supplier in Shreveport, Louisiana
NPI 1306615422

Divine Beauty Supply Inc is a Prosthetic/Orthotic Supplier based in Mansfield, LA. Divine Beauty Supply Inc practices in Shreveport, LA. The NPI Number for Divine Beauty Supply Inc is 1306615422 and holds a License No. (Louisiana).

The current practice location address for Divine Beauty Supply Inc is 2715 Mackey Pl Ste 130, Shreveport, LA and can be reached out via phone at 318-657-0416.

Location: 2715 Mackey Pl Ste 130, Shreveport, LA, 71052-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306615422
Provider Name
Divine Beauty Supply Inc
Credential
Provider Entity Type
Organization
Address
2715 Mackey Pl Ste 130, Shreveport, LA, 71052-2414
Phone Number
318-657-0416
Fax Number
Provider Enumeration Date
12/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2715 Mackey Pl Ste 130
City
Shreveport
State
Louisiana
Zip
71118-2528
Phone Number
318-657-0416
Fax Number
person
Provider Business Mailing Address Details
Address
2715 Mackey Pl Ste 130
City
Shreveport
State
Louisiana
Zip
71118-2528
Phone Number
318-657-0416
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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