NPI | 1295110054 |
---|---|
Other Name | IRENES SHEAR MADNESS |
Entity Type | Organization |
Authorized Contact | IRENE A. STEPHENS Owner 803-788-7832 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 29166) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |