| NPI | 1891882015 |
|---|---|
| Former Legal Business Name | SHOE REPAIR PLUS, LLC |
| Entity Type | Organization |
| Authorized Contact | JAY MARSHALL FLOWERS Owner 843-662-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 021267790) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2007-10-21 |