Organization
MOVIN ON MOBILITY MID AMERICA LLC
Active
Other names
Movin On Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE SHROAT (MANAGER/PARTNER)
(502) 964-3556
Entity
Organization
Contact information
Practice address
3301 FERN VALLEY RD, LOUISVILLE, KY 40213-3527
(502) 964-3556
(502) 964-0159
Mailing address
3301 FERN VALLEY RD, LOUISVILLE, KY 40213-3527
(502) 964-3556
(502) 964-0159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
105879
KY
332B00000X
Durable Medical Equipment & Medical Supplies
69000409A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90012832
—
KY
Enumeration date
08/18/2006
Last updated
02/09/2012
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