| NPI | 1477564375 |
|---|---|
| Doing Business As | ACTIVE MEDICAL & MOBILITY |
| Entity Type | Organization |
| Authorized Contact | LORRAINE BUCKNER President 731-632-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000939) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 0000000939) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000939) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-02-17 |