Organization
INDEPENDENT MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BRENT COWDEN (PARTNER)
(217) 653-5031
Entity
Organization
Contact information
Practice address
18994 HIGHWAY 19, NEW LONDON, MO 63459-4808
(217) 653-5031
Mailing address
18994 HIGHWAY 19, NEW LONDON, MO 63459-4808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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