Organization Name: | MOBILITY MEDICAL INC |
NPI Number: | 1033103023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANYELLE CARROLL (CEO) |
Mailing Address: | 554 Park Ln Flowood |
State: | MS US |
Postal Code: | 392328895 |
Phone Number: | 6019321001 |
Fax Number: | 6019322130 |
NPI Enumeration Date: | 09/06/2005 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 12380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |