Organization
ACTION MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LEWIS VIVIANI (PRESIDENT)
(309) 674-8550
Entity
Organization
Contact information
Practice address
2104 W TOWNLINE RD, PEORIA, IL 61615-1547
(309) 674-8550
(309) 674-8505
Mailing address
PO BOX 115, PEORIA, IL 61650-0115
(309) 674-8550
(309) 674-8505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000438
IL
Other
Enumeration date
10/20/2005
Last updated
04/16/2012
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