Organization
MOBILITY CENTRAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN MARK PETERS (PRESIDENT/OWNER)
(205) 916-0670
Entity
Organization
Contact information
Practice address
400 OLDE TOWNE RD, VESTAVIA HILLS, AL 35216-3732
(205) 916-0670
(205) 940-2299
Mailing address
400 OLDE TOWNE RD, VESTAVIA, AL 35216-3732
(205) 916-0670
(205) 940-2299
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
05017284
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009969285
—
AL
01
—
51521309
BLUECROSS BLUESHIELD
AL
Enumeration date
06/17/2006
Last updated
12/16/2014
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