Provider Demographics
NPI:1407693203
Name:FRANNY'S UNIQUE BOUTIQUE LLC
Entity type:Organization
Organization Name:FRANNY'S UNIQUE BOUTIQUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-245-2018
Mailing Address - Street 1:2155 CELANESE RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1305
Mailing Address - Country:US
Mailing Address - Phone:803-329-1216
Mailing Address - Fax:803-329-1218
Practice Address - Street 1:2155 CELANESE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1305
Practice Address - Country:US
Practice Address - Phone:803-329-1216
Practice Address - Fax:803-329-1218
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANNYS PINK RIBBON GIRLS BOUTIQUE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies