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Organization
ADVANCED MOBILITY, LLC
Active
Organization
ADVANCED MOBILITY, LLC
Active
Other names
Advanced Mobility, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYERLA (OWNER, PRINCIPLE OFFICER)
(618) 967-1249
Entity
Organization
Contact information
Practice address
130 LICK CREEK RD, ANNA, IL 62906-3270
(618) 658-8580
(618) 658-8680
Mailing address
130 LICK CREEK RD, ANNA, IL 62906-3270
(618) 658-8580
(618) 658-8680
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023142338
NPI
IL
Enumeration date
03/16/2007
Last updated
06/21/2018
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