Organization
MOBILITY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIO BADAGLIACCO (OWNER)
(618) 305-9035
Entity
Organization
Contact information
Practice address
114 W PLAZA DR, CARTERVILLE, IL 62918-1920
(618) 305-9035
Mailing address
114 W PLAZA DR, CARTERVILLE, IL 62918-1920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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