Organization
KEEN MOBILITY COMPANY
Active
Other names
Keen Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAIL B HORTON (PRESIDENT/CEO)
(503) 847-2020
Entity
Organization
Contact information
Practice address
271 SALEM ST, UNIT C&D, WOBURN, MA 01801-2004
(781) 281-2733
(888) 440-5111
Mailing address
6500 NE HALSEY BLDG B, PORTLAND, OR 97213-5092
(503) 847-2020
(888) 624-7890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
08/16/2012
Last updated
06/24/2013
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