| NPI | 1275556615 |
|---|---|
| Doing Business As | ADA SHOES |
| Entity Type | Organization |
| Authorized Contact | DAVID GAGOSHIDZE Owner 267-210-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |