Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1982858841 |
| LBN Legal business name | HEARTLAND MOBILITY |
| Authorized official | JASON JACKSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/05/2008 |
| Last updated | 02/05/2009 - About 17 years ago |
| Identifiers | n/a |
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HEARTLAND MOBILITY
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