Organization
ALITE MOBILITY AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE JACKSON (MANAGING DIRECTOR)
(909) 509-2329
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST STE 203A, MONTCLAIR, CA 91763-2323
(909) 284-1800
(909) 284-1800
Mailing address
4959 PALO VERDE ST STE 203A, MONTCLAIR, CA 91763-2323
(909) 284-1800
(909) 284-1800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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