Bombeauty Supply and Salon

Organization Active NPI Durable Medical Equipment & Medical Supplies · Indianapolis, IN

NPI 1003383233 · NPPES record last updated Oct 25, 2018

Key facts

NPI
1003383233
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
BOMBEAUTY SUPPLY AND SALON
Practice address
3010 Lake Shore Dr Unit a
Indianapolis, IN 46205
Phone
(817) 721-5008
NPI assigned
Oct 25, 2018
Organization subpart
No

Authorized official

Name
Andrea Scott
Title
Owner
Phone
(317) 523-6475

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3010 Lake Shore Dr Unit a
Indianapolis, IN 46205

Mailing address

8421 Weeping Cherry Lane
Ft Worth, TX 76140
Phone (817) 721-5008

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.