Organization
ACTIVE MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUANNE ABERCROMBIE SEMONES (DIRECTOR OF OPERATIONS)
(540) 776-0005
Entity
Organization
Contact information
Practice address
1229 SUMMIT AVE SW, ROANOKE, VA 24015-2530
(540) 776-0005
(540) 776-0035
Mailing address
1229 SUMMIT AVE SW, ROANOKE, VA 24015-2530
(540) 776-0005
(540) 776-0035
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157480
—
VA
Enumeration date
10/02/2006
Last updated
07/21/2022
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