Organization
MOBILITY SCOOTERS OF WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY J HARDIN (OWNER)
16362399963
Entity
Organization
Contact information
Practice address
308 JEFFERSON ST, WASHINGTON, MO 63090-2634
(163) 623-9996
(163) 623-9953
Mailing address
308 JEFFERSON ST, WASHINGTON, MO 63090-2634
(163) 623-9996
(163) 623-9953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18062083
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183695
BLUE CROSS BLUE SHIELD
MO
05
—
625877303
—
MO
Enumeration date
08/23/2006
Last updated
08/07/2008
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