NPI | 1912063306 |
---|---|
Doing Business As | LEE"S COMFORT SHOES |
Entity Type | Organization |
Authorized Contact | JEFF L RESER President 419-562-3072 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 0089) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2008-03-12 |