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Stacey's Bra And Lingerie Shop, Inc
Prosthetic/Orthotic Supplier in Urbandale, Iowa
NPI 1720159452

Stacey's Bra And Lingerie Shop, Inc is a Prosthetic/Orthotic Supplier based in Urbandale, IA. Stacey's Bra And Lingerie Shop, Inc practices in Urbandale, IA. The NPI Number for Stacey's Bra And Lingerie Shop, Inc is 1720159452 and holds a License No. (Iowa).

The current practice location address for Stacey's Bra And Lingerie Shop, Inc is 10453 Hickman Road, Urbandale, IA and can be reached out via phone at 515-226-9336.

Location: 10453 Hickman Road, Urbandale, IA, 50322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720159452
Provider Name
Stacey's Bra And Lingerie Shop, Inc
Credential
Provider Entity Type
Organization
Address
10453 Hickman Road, Urbandale, IA, 50322
Phone Number
515-226-9336
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102509 05 IA
institution
Provider Business Practice Location Address Details
Address
10453 Hickman Road
City
Urbandale
State
Iowa
Zip
50322-5032
Phone Number
515-226-9336
Fax Number
person
Provider Business Mailing Address Details
Address
10453 Hickman Road
City
Urbandale
State
Iowa
Zip
50322-5032
Phone Number
515-226-9336
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
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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