| NPI | 1114935558 |
|---|---|
| Doing Business As | MODERN MOBILITY |
| Entity Type | Organization |
| Authorized Contact | DENNIS LYNN WILLIAMSON President 757-437-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2006-195711-R) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-26 |