| NPI | 1477930592 |
|---|---|
| Doing Business As | 101 MOBILITY OF NORTHEAST WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | MARY LYNN LARSON Vice President 920-766-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |