Organization
THE MOBILITY DEPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDWARD MENVILLE (CEO/OWNER)
(225) 215-2222
Entity
Organization
Contact information
Practice address
7931 ONE CALAIS AVE, BATON ROUGE, LA 70809-3403
(225) 215-2222
(225) 215-2222
Mailing address
7931 ONE CALAIS AVE, BATON ROUGE, LA 70809-3403
(225) 215-2222
(225) 215-2222
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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