Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assistive Technology Supplier |
225CA2500X |
| NPI Number | 1891347779 |
| LBN Legal business name | THE MOBILITY DEPOT, LLC |
| Authorized official | KEITH MENVILLE - (CEO/OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/11/2019 |
| Last updated | 07/11/2019 - About 7 years ago |
| Identifiers | n/a |
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