NPI | 1083960868 |
---|---|
Former Legal Business Name | COMFORTING SOLES 2 |
Entity Type | Organization |
Authorized Contact | JOSHUA BIVINS President 470-558-5038 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-07-30 |
Last Update Date | 2020-01-07 |