Organization
MOBILELIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE FOX DME (OWNER-MANAGER)
(828) 676-2760
Entity
Organization
Contact information
Practice address
73 AIRPORT RD STE 3, ARDEN, NC 28704-9527
(828) 676-2760
(828) 676-2759
Mailing address
73 AIRPORT RD STE 3, ARDEN, NC 28704-9527
(828) 676-2760
(828) 676-2759
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02568
NC BOARD OF PHARMACY DME & DEVICE
NC
Enumeration date
03/04/2019
Last updated
03/04/2019
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