| NPI | 1417912924 |
|---|---|
| Other Name | MOBILITY DEPOT |
| Entity Type | Organization |
| Authorized Contact | KEITH EDWARD MENVILLE Owner 225-215-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-07-08 |