Organization
MOBILE 421 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNELL COLLINS (CEO)
(531) 541-3770
Entity
Organization
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 937-0052
Mailing address
7914 W DODGE RD STE 419, OMAHA, NE 68114-3423
(402) 937-0052
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
06/07/2023
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