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Organization

AA EASTERN MOBILITY

Active
Other names
Eastern Mobility
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD SAMUEL LANEVE (PRESIDENT)
(301) 845-4188
Entity
Organization

Contact information

Practice address
4 COUNCIL DRIVE, WOODSBORO, MD 21798-8539
(301) 845-4188
(301) 845-6316
Mailing address
PO BOX 415, WOODSBORO, MD 21798-0415
(301) 845-4188
(301) 845-6316

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MD
332BC3200X
Customized Equipment (DME)
Primary
MD

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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