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Organization
COMFORT PLUS SHOE CENTER, INC.
Active
Organization
COMFORT PLUS SHOE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN MANNINO (PRESIDENT, CPED)
(402) 392-2952
Entity
Organization
Contact information
Practice address
535 N 155TH PLZ, OMAHA, NE 68154-3775
(402) 392-2952
(402) 392-1761
Mailing address
535 N 155TH PLZ, OMAHA, NE 68154-3775
(402) 392-2952
(402) 392-1761
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
7077181
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0939116
—
IA
01
—
09980
BLUE CROSS BLUE SHIELD
NE
05
—
10025318500
—
NE
Enumeration date
03/26/2008
Last updated
01/15/2009
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