Organization
SUN STATE SCOOTER MOBILITY, LLC
Active
Other names
Sun State Scooter Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JAY MOLLENHOUR (CO-MEMBER)
(520) 326-5455
Entity
Organization
Contact information
Practice address
595 E WETMORE RD STE J-101, TUCSON, AZ 85705-1763
(520) 326-5455
(520) 326-5566
Mailing address
595 E WETMORE RD STE J-101, TUCSON, AZ 85705-1763
(520) 326-5455
(520) 326-5566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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