Golightly Footwear INC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Pueblo, CO. Organization (NPI-2).
NPI number1760660906
StatusActive
Last updated in NPPESFeb 8, 2008
Details
- NPI
- 1760660906
- Entity type
- Organization (NPI-2)
- Legal business name
- Golightly Footwear INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2008
- Last updated
- Feb 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | CO | Yes |
Practice location
222 N Main StPueblo, CO 81003-3235
Phone 719-545-5539
Mailing address
222 N Main StPueblo, CO 81003-3235
Phone 719-545-5539
Authorized official
Nancy Lievers
Owner
7195455539
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