Provider Demographics
NPI:1821458845
Name:ELEGANT BEGINNINGS
Entity Type:Organization
Organization Name:ELEGANT BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:740-727-4833
Mailing Address - Street 1:2965 SCOTT PLANTATION DR S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-9447
Mailing Address - Country:US
Mailing Address - Phone:740-727-4833
Mailing Address - Fax:
Practice Address - Street 1:2370 HILLCREST RD
Practice Address - Street 2:SUITE K
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3841
Practice Address - Country:US
Practice Address - Phone:251-586-8675
Practice Address - Fax:251-375-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies