Organization
EASTSIDE MOBILITY, LLC
Active
Other names
Eastside Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE B HARRIS (OWNER)
(425) 241-0149
Entity
Organization
Contact information
Practice address
4921 370TH CT SE, FALL CITY, WA 98024-9721
(425) 241-0149
Mailing address
PO BOX 1325, FALL CITY, WA 98024-1325
(425) 241-0149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6026137881
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213921
WASHINGTOPN DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
05/27/2008
Last updated
05/27/2008
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