Organization
RICHMOND SHOE COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTANNIA TAYLOR (CEO)
(765) 259-1954
Entity
Organization
Contact information
Practice address
10 N 7TH ST STE 508, RICHMOND, IN 47374-3089
(765) 259-1954
Mailing address
10 N 7TH ST STE 508, RICHMOND, IN 47374-3089
(765) 259-1954
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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