Organization
JVA MOBILITY INC
Active
Organization
JVA MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT WOLRAB (OWNER)
(319) 226-3363
Entity
Organization
Contact information
Practice address
2700 FALLS AVE, WATERLOO, IA 50701-5724
(319) 226-3363
(319) 226-3584
Mailing address
2700 FALLS AVE, WATERLOO, IA 50701-5724
(319) 226-3363
(319) 226-3584
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1-07-036351
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419861
—
IA
01
—
35294
WELLMARK BLUE CROSS
IA
Enumeration date
12/06/2006
Last updated
10/04/2010
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