NPI | 1831334978 |
---|---|
Doing Business As | VILLAGE SHOE SERVICE |
Entity Type | Organization |
Authorized Contact | LARRY WILLIAM SCHUPBACH Owner 770-938-7463 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CPed2232) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2009-09-25 |