Organization
CUSTOMIZED MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R JOHNSON (PRESIDENT/CEO)
(616) 805-6090
Entity
Organization
Contact information
Practice address
514 ESCANABA LN, MUSKEGON, MI 49442-7604
(616) 805-6090
Mailing address
514 ESCANABA LN, MUSKEGON, MI 49442-7604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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