OrganizationActive
Lady Grace Stores, Inc.
NPI 1679700991 · Prosthetic/Orthotic Supplier · Hyannis, MA
Provider details
- NPI number
- 1679700991
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Green, Treasurer(781) 322-1721
Specialties & taxonomies
Suppliers
Practice location
790 Iyannough Rd
Hyannis, MA 02601-4916
Phone: (508) 771-3608
Approximate (ZIP-level) locationGet directions
Mailing address
790 Iyannough Rd
Hyannis, MA 02601-4916
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2009-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.