Provider Demographics
NPI:1881474526
Name:CROWN-OLOGY LTD. CO
Entity type:Organization
Organization Name:CROWN-OLOGY LTD. CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:YEVETTE
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:RC
Authorized Official - Phone:803-626-5845
Mailing Address - Street 1:450 SUMMIT HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7194
Mailing Address - Country:US
Mailing Address - Phone:803-626-5845
Mailing Address - Fax:803-234-2957
Practice Address - Street 1:450 SUMMIT HILLS CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7194
Practice Address - Country:US
Practice Address - Phone:803-626-5845
Practice Address - Fax:803-234-2957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier