MEDICARE: SHOES ETC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	046315575	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508041872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOES ETC LLC

Provider Business Mailing Address
First Line	:	PO BOX 2652
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-4003
Country	:	US
Telephone Number	:	803-781-5757
Fax Number	:	866-843-2602

Provider Business Practice Location Address
First Line	:	339 E MAIN STREET
Second Line	:	SUITE 113
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5367
Country	:	US
Telephone Number	:	803-329-7463
Fax Number	:	866-843-2602

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM D MCLEOD
Credential	:
Telephone Number	:	803-730-3887

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	06/17/2008

Similar Medicare Providers

1457518052 — MARVIN ALEXANDER STALLWORTH
Practice Location Address:

339 E MAIN ST STE 203
ROCK HILL, SC
29730-5367

Practice Phone: 803-746-7749
Practice Fax: 803-746-7748

1710144274 — BNS ENTERPRISES, LLC
Practice Location Address:

339 E MAIN ST STE 203
ROCK HILL, SC
29730-5367

Practice Phone: 803-746-7749
Practice Fax:

1164664009 — HOME CARE PROFESSIONALS
Practice Location Address:

339 E MAIN ST , SUITE 203
ROCK HILL, SC
29730-5367

Practice Phone: 803-448-1969
Practice Fax: 803-746-7748

1568722536 — MARGARET FRI YOUTCHA HHA
Practice Location Address:

7201 CARRIAGE HILL DR
LAUREL, MD
20707-5367

Practice Phone: 202-545-0935
Practice Fax:

1942561709 — FRIMEG COMFORT CARE.LLC
Practice Location Address:

7201 CARRIAGE HILL DR
LAUREL, MD
20707-5367

Practice Phone: 301-440-2554
Practice Fax:

1801224258 — L&M AMERICAN HEALTHCARE SERVICES
Practice Location Address:

7201 CARRIAGE HILL DR
LAUREL, MD
20707-5367

Practice Phone: 301-404-2554
Practice Fax: 301-850-4881

Directions to “SHOES ETC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.