Organization
BLUE MOUNTAIN MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D YANNONE JR. (SECRETARY/TREASURER)
(610) 377-5079
Entity
Organization
Contact information
Practice address
725 STATE ROAD, LEHIGHTON, PA 18235-2851
(610) 377-5079
(610) 577-0283
Mailing address
725 STATE ROAD, LEHIGHTON, PA 18235-2851
(610) 377-5079
(610) 577-0283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83886462
SALES TAX ID NUMBER
PA
Enumeration date
09/28/2006
Last updated
08/22/2020
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