Organization
HANGER PROSTHETICS & ORTHOTICS EAST INC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2118 VADALABENE DR STE A, MARYVILLE, IL 62062-5632
(618) 288-8920
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622360709
—
MO
Enumeration date
11/20/2006
Last updated
12/14/2021
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