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NPI 1679385306

OrganizationActive

Crownz Heavenly Palace LLC

NPI 1679385306 · Prosthetic/Orthotic Supplier · Washington, DC

Provider details

NPI number: 1679385306
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Mikaelah Grant, Ceo/Owner

Practice location

712 H St Ne # 1509

Washington, DC 20002-3627

Phone: (771) 210-4720

Fax: (771) 210-4720

More DC providers

Mailing address

712 H St Ne # 1509

Washington, DC 20002-3627

Registry dates

Enumerated: 2025-01-21
Last updated: 2025-10-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Crownz Heavenly Palace LLC — NPI 1679385306, Washington, DC | NPI Central