| NPI | 1992867212 |
|---|---|
| Doing Business As | NEW LIFE |
| Entity Type | Organization |
| Authorized Contact | DONNA JEANNE ERISMAN Owner 417-624-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-05-21 |