NPI:
1023142338
Provider Name:
ADVANCED MOBILITY, LLC
Doing Business As: ADVANCED MOBILITY, LLC
Classification:
Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type:
Organization
Specialization: Customized Equipment
Address:
130 LICK CREEK RD
ANNA, IL
ZIP 62906
Phone:
(618) 658-8580
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ADVANCED MOBILITY, LLC is a customized equipment durable medical equipment medical supplies in Anna, IL. ADVANCED MOBILITY, LLC NPI is 1023142338. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Mobility, Llc.
The provider's business location address is:
130 LICK CREEK RD
ANNA, IL
ZIP 62906-270
Phone: (618) 658-8580
Fax: (618) 658-8680
The provider's authorized official is Michelle Lyerla .
The authorized official title is Owner, Principle Officer and has the following contact phone number (618) 967-1249.
The enumeration date for this NPI number is 3/16/2007 and was last updated on 6/21/2018.