NPI | 1336386358 |
---|---|
Doing Business As | COREY'S BOOTERY |
Entity Type | Organization |
Authorized Contact | JAMES F BLOOMFIELD Pedortist/Owner 269-349-2247 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-01-13 |
Last Update Date | 2013-03-01 |