Organization
SENIOR MOBILITY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEPHEN HARBAUGH (PRESIDENT)
(574) 584-4383
Entity
Organization
Contact information
Practice address
9695 OLD PORT CV, BRISTOL, IN 46507-8788
(574) 584-4383
Mailing address
9695 OLD PORT CV, BRISTOL, IN 46507-8788
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8912990608
IN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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