NPI 1891922076
Lady Grace Stores, INC.
Practice location
- Address
- 236 N Broadway, Salem, NH 03079-2131
- Phone
- (603) 898-0522
Authorised official
- Name
- Bruce I Green
- Title
- Treasurer
- Phone
- (781) 322-1721
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1891922076
- Entity type
- Organization
- NPI issued
- 16 Jun 2009
- Record last updated
- 16 Jun 2009
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.