Organization
ADVANCED MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN SIRBAUGH (PRESIDENT/OWNER)
(810) 240-4055
Entity
Organization
Contact information
Practice address
10469 GRANDVIEW, GOODRICH, MI 48438
(810) 240-4055
(810) 953-6560
Mailing address
12745 S SAGINAW ST, STE. 806 PMB. 363, GRAND BLANC, MI 48439-2437
(810) 240-4055
(810) 953-6560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488227887
—
MI
Enumeration date
07/06/2006
Last updated
07/21/2022
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