| NPI | 1912297714 |
|---|---|
| Doing Business As | LIFESTYLE MOBILITY PLUS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. SHELLEY President 765-610-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |