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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