Provider Demographics
NPI:1598006108
Name:FOR EVERY WOMAN, LLC
Entity Type:Organization
Organization Name:FOR EVERY WOMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-430-6673
Mailing Address - Street 1:90 ORCHARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3567
Mailing Address - Country:US
Mailing Address - Phone:864-663-8049
Mailing Address - Fax:864-234-1337
Practice Address - Street 1:90 ORCHARD PARK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3567
Practice Address - Country:US
Practice Address - Phone:864-430-6673
Practice Address - Fax:864-235-0523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier