Organization
PAUL LONG
Active
Other names
LIBERTY MOBILITY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D LONG OWNER (OWNER)
(401) 827-8800
Entity
Organization
Contact information
Practice address
5 CHURCH ST, WEST WARWICK, RI 02893-4004
(401) 827-8800
Mailing address
5 CHURCH ST, WEST WARWICK, RI 02893-4004
(401) 827-8800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
05/06/2024
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