Provider Demographics
NPI:1407691199
Name:CHAR'S DELIGHTFUL SOLUTIONS
Entity type:Organization
Organization Name:CHAR'S DELIGHTFUL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-709-4675
Mailing Address - Street 1:2206 BEIDERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3670
Mailing Address - Country:US
Mailing Address - Phone:270-709-4675
Mailing Address - Fax:
Practice Address - Street 1:2206 BEIDERMAN ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3670
Practice Address - Country:US
Practice Address - Phone:270-709-4675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier