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Organization

INDEPENDENT MOBILITY ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON JUSTICE CLINTON (ADM/OWNER)
(870) 942-3270
Entity
Organization

Contact information

Practice address
129 S BRIARWOOD DR, SHERIDAN, AR 72150-8417
(870) 942-3270
Mailing address
129 S BRIARWOOD DR, SHERIDAN, AR 72150-8417
(870) 942-3270

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146564716
AR
01
49839
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/03/2007
Last updated
08/05/2008
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