Organization
ADAPTIVE STAR MOBILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI M. DURRIN (PRESIDENT)
(800) 278-9626
Entity
Organization
Contact information
Practice address
732 N 16TH AVE STE 26, YAKIMA, WA 98902-1890
(800) 278-9626
Mailing address
PO BOX 369, SELAH, WA 98942-0369
(800) 278-9626
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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