Organization
SALEM MOBILITY OF S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISHA MARIE BAKER (MANAGER)
(843) 249-5000
Entity
Organization
Contact information
Practice address
110 BECKER PL UNIT C1, LITTLE RIVER, SC 29566-9397
(843) 249-5000
(843) 249-5004
Mailing address
PO BOX 1122, LITTLE RIVER, SC 29566-1122
(843) 249-5000
(843) 249-5004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2532
—
SC
Enumeration date
06/24/2006
Last updated
08/22/2020
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