Organization
SCOOTER STORE-JACKSON LLC
Active
Parent organization
THE SCOOTER STORE - USA, INC.
Other names
The SCOOTER Store/Alliance Seating & Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SCOOTER STORE - USA, INC.
Authorized official
JASON CONE (GENERAL COUNSEL & SECRETARY)
(830) 627-4433
Entity
Organization
Contact information
Practice address
125 PAUL TRUITT LN, PEARL, MS 39208-4073
(601) 932-5177
Mailing address
PO BOX 310709, NEW BRAUNFELS, TX 78131-0709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441005
—
MS
05
—
1626899
—
LA
Enumeration date
07/16/2006
Last updated
08/09/2013
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