| 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 |