| Organization Name: | BENNETT MOBILITY PRODUCTS LLC |
| NPI Number: | 1427353580 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRANT D BENNETT (CEO/MANAGER/SINGLE OWNER) |
| Mailing Address: | 638 Gordon St Blackshear |
| State: | GA US |
| Postal Code: | 315161208 |
| Phone Number: | 9128076625 |
| Fax Number: | 9128070212 |
| NPI Enumeration Date: | 01/21/2011 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 2010000805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |