Organization
GREAT AMERICAN SCOOTER COMPANY OF HUMBLE, LLC
Active
Other names
Great American Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
TROY R LILES ATP (PRESIDENT)
(281) 639-4177
Entity
Organization
Contact information
Practice address
2037 JOHNSTON ST, LAFAYETTE, LA 70503-2784
(281) 639-4177
(832) 777-7023
Mailing address
2037 JOHNSTON ST, LAFAYETTE, LA 70503-2784
(281) 639-4177
(832) 777-7023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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