Organization
LIVEIT, LLC
Active
Other names
Heavenly Soles Foot Comfort Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E MITCHELL C.PED (PRESIDENT)
(573) 348-6767
Entity
Organization
Contact information
Practice address
1018 MAIN ST, SUITE B, OSAGE BEACH, MO 65065-3033
(573) 348-6767
(573) 348-6767
Mailing address
1018 MAIN ST, SUITE B, OSAGE BEACH, MO 65065-3033
(573) 348-6767
(573) 348-6767
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED2175
MO
Other
Enumeration date
02/22/2008
Last updated
03/31/2010
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