Bella256 Boutique LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Madison, GA
NPI 1619862273 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1619862273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BELLA256 BOUTIQUE LLC
- Practice address
- 1251 Hawthorne Cir
Madison, GA 30650-5099 - Phone
- (256) 453-9070
- NPI assigned
- Jun 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Lisa S Lyles, RN
- Title
- President
- Phone
- (256) 453-9070
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1251 Hawthorne Cir
Madison, GA 30650-5099
Mailing address
1251 Hawthorne Cir
Madison, GA 30650-5099
Phone (256) 453-9070
Other names
- Bella256 Boutique LLC
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All providers in Madison, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.