Organization
MEDICAL MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALEN GENE SPAW (CO-OWNER)
(260) 490-8485
Entity
Organization
Contact information
Practice address
10020 LIMA RD STE D, FORT WAYNE, IN 46818-9144
(260) 490-8485
(260) 490-9874
Mailing address
10020 LIMA RD STE D, FORT WAYNE, IN 46818-9144
(260) 490-8485
(260) 490-9874
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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