| NPI | 1699944793 |
|---|---|
| Doing Business As | HEAVENLY SOLES FOOT COMFORT CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN E MITCHELL President 573-348-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO CPed2175) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-03-31 |