Organization
SUPERIOR MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J B (OWNER)
(804) 379-5370
Entity
Organization
Contact information
Practice address
819 GROVE RD, SUITE A, MIDLOTHIAN, VA 23114-2605
(804) 379-5370
(804) 379-5701
Mailing address
819 GROVE RD, SUITE A, MIDLOTHIAN, VA 23114-2605
(804) 379-5370
(804) 379-5701
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
IR277
VA
343900000X
Non-emergency Medical Transport (VAN)
Primary
IR277
VA
Other
Enumeration date
07/23/2015
Last updated
09/18/2015
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