Organization Name: | JKL HEARING CENTER, INC |
NPI Number: | 1184988891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE LEWIS (PRESIDENT) |
Mailing Address: | 4195 S Lee St Suite A Buford |
State: | GA US |
Postal Code: | 305188019 |
Phone Number: | 6787140888 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | HADE034859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |