Organization
MED CITY MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ELWOOD (OWNER)
(507) 252-0555
Entity
Organization
Contact information
Practice address
627 4TH ST NW, FARIBAULT, MN 55021-2307
(507) 334-2602
(507) 334-7574
Mailing address
627 4TH ST NW, FARIBAULT, MN 55021-2307
(507) 334-2602
(507) 334-7574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363243100
—
MN
Enumeration date
01/05/2007
Last updated
10/20/2011
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