Organization
INDEPENDENT MOBILITY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN EDWARD FANNON (PRESIDENT/CEO/OWNER)
(330) 750-0440
Entity
Organization
Contact information
Practice address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 750-0440
(330) 750-0444
Mailing address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 750-0440
(330) 750-0444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1617680
OH
Other
Enumeration date
06/14/2006
Last updated
04/24/2008
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