| 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 |