Organization
ROSIE'S COMFORT SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA M. RUTH (OWNER/CPED)
(570) 271-1902
Entity
Organization
Contact information
Practice address
327 MILL ST, DANVILLE, PA 17821-1901
(570) 271-1902
(570) 271-1923
Mailing address
327 MILL ST, DANVILLE, PA 17821-1901
(570) 271-1902
(570) 271-1923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
80329719
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237583
HIGHMARK BLUE SHIELD
PA
01
—
43554
GEISINGER ID NUMBER
PA
01
—
50005229
CAPITAL BLUE CROSS
PA
01
—
814208
FIRST PRIORITY HEALTH
PA
Enumeration date
09/26/2005
Last updated
03/10/2014
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