NPI | 1740337427 |
---|---|
Doing Business As | GEORGE ALLEN SHOES INC |
Entity Type | Organization |
Authorized Contact | DALLAS R POWERS President 708-388-8570 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 212-000021) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-04-14 |