| NPI | 1205828381 |
|---|---|
| Doing Business As | RANDOLPH MOBILITY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KENTON WILLIAM RANDOLPH Owner, Atp 816-364-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-12-27 |