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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