Organization
THE MOBILITY STORE OF IOWA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD EUGENE PILK (MANAGER)
(515) 727-4923
Entity
Organization
Contact information
Practice address
4178 NW URBANDALE DR, URBANDALE, IA 50322-7915
(515) 727-4923
(515) 727-4932
Mailing address
4178 NW URBANDALE DR, URBANDALE, IA 50322-7915
(515) 727-4923
(515) 727-4932
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266395
—
IA
Enumeration date
09/20/2005
Last updated
08/22/2020
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