Organization
MOBILITY MEDICAL OF NORTH
Active
Other names
MOBILITY MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYELLE CARROLL (CEO/OWNER)
(601) 932-1001
Entity
Organization
Contact information
Practice address
2565 HALLS MILL RD, UNIT F, MOBILE, AL 36606
(601) 932-1001
(601) 932-2130
Mailing address
554 PARK LN, STE B, FLOWOOD, MS 39232-8895
(601) 932-1001
(601) 932-2130
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
25882
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03630512
—
MS
01
—
0695311.1
MS BOARD OF PHARMACY PERMIT
MS
01
—
1406
AL BOARD OF HME SVS PROVIDERS
AL
05
—
200655
—
AL
01
—
DME.000555
LA STATE LICENSE
LA
Enumeration date
05/10/2006
Last updated
07/18/2023
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