NPI | 1497905921 |
---|---|
Former Legal Business Name | GREAT LENGTHS |
Entity Type | Organization |
Authorized Contact | CLARE ANN MCAFEE Owner Sole Proprietor 8022-291-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2008-09-20 |
Last Update Date | 2008-09-20 |