Organization
MOBILITY TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES KOONCE (MEMBER)
(219) 696-6718
Entity
Organization
Contact information
Practice address
566 S LAKEVIEW DR, LOWELL, IN 46356-1363
(219) 696-6718
Mailing address
566 S LAKEVIEW DR, LOWELL, IN 46356-1363
(219) 696-6718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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