Organization
KC 717 INC
Active
Other names
MOBILITY PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NOEL (FINANCE MANAGER)
(716) 824-2243
Entity
Organization
Contact information
Practice address
1674 ABBOTT RD, LACKAWANNA, NY 14218-2939
(716) 824-2243
Mailing address
1674 ABBOTT RD, LACKAWANNA, NY 14218-2939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2011
Last updated
05/10/2012
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