Organization
AMERICAN MOBILITY COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HARRY ILCH (OWNER)
(804) 370-0169
Entity
Organization
Contact information
Practice address
5223 KLOCKNER DR, HENRICO, VA 23231-4336
(804) 716-7764
(804) 716-7767
Mailing address
5223 KLOCKNER DR, HENRICO, VA 23231-4336
(804) 716-7764
(804) 716-7767
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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