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NPI Code Detail

MEDICARE: MOBILITY PLUS MEDICAL SUPPLY LLC

MEDICARE: MOBILITY PLUS MEDICAL SUPPLY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1862689001LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225142870
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILITY PLUS MEDICAL SUPPLY LLC
Provider Business Mailing Address
First Line : PO BOX 16672
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70616-6672
Country : US
Telephone Number : 337-474-1874
Fax Number : 337-474-1873
Provider Business Practice Location Address
First Line : 1013 E MCNEESE ST
Second Line : STE B
City : LAKE CHARLES
State : LA
Zip : 70607-5837
Country : US
Telephone Number : 337-474-1874
Fax Number : 337-474-1873
Authorized Official
Title or Position : OWNER OPERATOR
Name : MRS. JOYCE M COWARD
Credential : DME
Telephone Number : 337-474-1874
Provider Enumeration Date : 08/19/2006
Last Update Date : 10/14/2008

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Directions to “MOBILITY PLUS MEDICAL SUPPLY LLC ” Practice Location

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