Organization
ACTIVE MOBILITY, INC.
Active
Parent organization
ACTIVE MOBILITY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE MOBILITY, INC.
Authorized official
MELVIN D. ATKINSON (OWNER/PRESIDENT)
(540) 776-0005
Entity
Organization
Contact information
Practice address
2374 JEFFERSON HWY, SUITE 108, WAYNESBORO, VA 22980-6503
(540) 942-9600
(540) 942-9700
Mailing address
2374 JEFFERSON HWY, SUITE 108, WAYNESBORO, VA 22980-6503
(540) 942-9600
(540) 942-9700
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157480
—
VA
Enumeration date
10/25/2007
Last updated
08/11/2008
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