Organization
DIABETIC COMFORT FOOTWEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FOUST MOHAMMED (OWNER)
(502) 821-8783
Entity
Organization
Contact information
Practice address
5130 CHARLESTOWN RD, SUITE 3, NEW ALBANY, IN 47150-9483
(502) 821-8783
(812) 949-0279
Mailing address
5130 CHARLESTOWN RD, SUITE 3, NEW ALBANY, IN 47150-9483
(502) 821-8783
(812) 949-0279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2514112
—
OH
05
—
90009192
—
KY
Enumeration date
02/19/2007
Last updated
03/04/2008
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