Organization
MEDICAL MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LARSON (OWNER)
(260) 490-8485
Entity
Organization
Contact information
Practice address
10020 LIMA RD, SUITE D, FORT WAYNE, IN 46818-9144
(260) 490-8485
(260) 490-9874
Mailing address
10020 LIMA RD, SUITE D, FORT WAYNE, IN 46818-9144
(260) 490-8485
(260) 490-9874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4811410001
IN
Other
Enumeration date
07/20/2005
Last updated
08/22/2020
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