Organization
MOBILITY ACCESS PROVIDERS
Active
Other names
M.A.P.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MACK WELDON (CHEIF EXECUTIVE OFFICER)
(502) 957-1003
Entity
Organization
Contact information
Practice address
264 ARNOLD DR, SHEPHERDSVILLE, KY 40165-6985
(502) 957-1003
(502) 957-1304
Mailing address
264 ARNOLD DR, SHEPHERDSVILLE, KY 40165-6985
(502) 957-1003
(502) 957-1304
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
019486
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90011883
—
KY
Enumeration date
08/05/2006
Last updated
04/23/2008
Update your record
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