Organization
MODERN MOBILITY
Active
Organization
MODERN MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W. BOULDEN JR. (OWNER)
(302) 376-6721
Entity
Organization
Contact information
Practice address
16 N BROAD ST, MIDDLETOWN, DE 19709-1061
(302) 378-5433
(303) 378-5433
Mailing address
16 N BROAD ST, MIDDLETOWN, DE 19709-1061
(302) 378-5433
(303) 378-5433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2007217822
DE
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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