MEDICARE: IT'S YOU BABE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1497174452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IT'S YOU BABE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	LAKE
State	:	MI
Zip	:	48632-0535
Country	:	US
Telephone Number	:	877-661-9682
Fax Number	:	855-499-2223

Provider Business Practice Location Address
First Line	:	8572 LUDINGTON DR
Second Line	:
City	:	LAKE
State	:	MI
Zip	:	48632-8717
Country	:	US
Telephone Number	:	877-661-9682
Fax Number	:	855-499-2223

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	CHRISTINE SEERING
Credential	:
Telephone Number	:	877-661-9682

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	04/07/2014

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Directions to “IT'S YOU BABE, LLC ” Practice Location

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