NPI 1679385306

Crownz Heavenly Palace LLC

Organisation Prosthetic/Orthotic Supplier Washington, DC

Practice location

Address: 712 H St NE # 1509, Washington, DC 20002-3627
Phone: (771) 210-4720
Fax: (771) 210-4720

Authorised official

Name: Mikaelah Grant
Title: Ceo/Owner
Phone: (410) 900-7909

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1679385306
Entity type: Organization
NPI issued: 21 Jan 2025
Record last updated: 13 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.