OrganizationActive
A Special Place Wig Boutique, LLC
NPI 1013362896 · Durable Medical Equipment & Medical Supplies · Roanoke, VA
Provider details
- NPI number
- 1013362896
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- A Special Place Wig Gallery
- Authorized official
- Jamela Hodgson, Owner
- License
- 100033237 (VA)
Practice location
5524 Williamson Rd
Suite 6
Roanoke, VA 24012-1448
Phone: (540) 265-2960
Fax: (540) 265-2970
Mailing address
5524 Williamson Rd
Roanoke, VA 24012-1448
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.