Organization
BRIGHTWAY MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E PHIPPS (PRESIDENT)
(919) 800-9902
Entity
Organization
Contact information
Practice address
1525 S BLOUNT ST, RALEIGH, NC 27603-2507
(919) 800-9902
(888) 643-2044
Mailing address
1525 S BLOUNT ST, RALEIGH, NC 27603-2507
(919) 800-9902
(888) 643-2044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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