Organization
EASTERN SHORE ORTHOTICS &
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
2504 DAUPHIN ST, SUITE M, MOBILE, AL 36606-1956
(251) 471-0071
(251) 471-1951
Mailing address
P O BOX 650846, SUITE M, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
01/11/2022
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