Organization
APPLE INDEPENDENCE MOBILITY LLC
Active
Parent organization
APPLE INDEPENDENCE MOBILITY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPLE INDEPENDENCE MOBILITY LLC
Authorized official
MR. JEFFREY T APPLE ATP (MANAGING MEMBER/OWNER)
(931) 528-5788
Entity
Organization
Contact information
Practice address
1152 PINE ST, LEBANON, TN 37087-3769
(931) 528-5788
(931) 528-5789
Mailing address
306 N WILLOW AVE, COOKEVILLE, TN 38501-5549
(931) 528-5788
(931) 528-5789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
489
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01056184
AMERIGROUP
TN
05
—
1455151
—
TN
01
—
4143488
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/23/2009
Last updated
02/14/2012
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