Provider Demographics
NPI:1598744138
Name:FEETURE COMFORTS, LLC
Entity Type:Organization
Organization Name:FEETURE COMFORTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:III
Authorized Official - Credentials:CPED
Authorized Official - Phone:864-222-1200
Mailing Address - Street 1:109 HARBOR LIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-4416
Mailing Address - Country:US
Mailing Address - Phone:864-222-1200
Mailing Address - Fax:764-222-1414
Practice Address - Street 1:800 BREVARD RD
Practice Address - Street 2:SUITE 812
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2251
Practice Address - Country:US
Practice Address - Phone:864-222-1200
Practice Address - Fax:864-222-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704294Medicaid
NC046UMOtherBLUE CROSS
NC046UMOtherBLUE CROSS