Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1780749036 |
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| LBN Legal business name | MAXIMUM MOBILITY LLC | ||||||||
| Authorized official | JEFFREY KLOSSNER - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/27/2006 | ||||||||
| Last updated | 05/23/2018 - About 8 years ago | ||||||||
| Identifiers |
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