Organization
EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR
Active
Other names
Edwards Leather & Shoe Repair
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SMOOT I (OWNER)
(504) 214-6208
Entity
Organization
Contact information
Practice address
3704 MAGAZINE ST, NEW ORLEANS, LA 70115-2637
(504) 895-4993
Mailing address
3936 RED CYPRESS DR, HARVEY, LA 70058-5815
(504) 895-4993
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
21876
LA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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