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Organization

SUPERIOR VAN & MOBILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAM COOK (OWNER)
(800) 458-8267
Entity
Organization

Contact information

Practice address
2218 CONTRACTORS WAY, FORT WAYNE, IN 46818-1721
(260) 497-8267
(260) 490-4484
Mailing address
1506 LAKE SHORE CT, LOUISVILLE, KY 40223-3803
(800) 458-8267
(502) 447-5768

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
205552
IN

Other

Enumeration date
11/02/2006
Last updated
05/05/2026
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