Organization
L J MOTOR SALES INC.
Active
Other names
L J Mobility Products
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GILLILAND (PRESIDENT)
(517) 817-5454
Entity
Organization
Contact information
Practice address
3018 WILDWOOD AVE, SUITE C, JACKSON, MI 49202-3969
(517) 817-5454
(517) 817-5455
Mailing address
3018 WILDWOOD AVE, SUITE C, JACKSON, MI 49202-3969
(517) 817-5454
(517) 817-5455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4740924
—
MI
Enumeration date
07/27/2006
Last updated
08/22/2020
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