Organization
WEATHERLY MOBILITY ENTERPRISES, LLC
Active
Other names
101 Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY CLYCE WEATHERLY JR. (OWNER)
(901) 779-4199
Entity
Organization
Contact information
Practice address
3840 VISCOUNT AVE STE 14, MEMPHIS, TN 38118-6023
(901) 779-4199
Mailing address
3840 VISCOUNT AVE STE 14, MEMPHIS, TN 38118-6023
(901) 779-4199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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