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NPI Code Detail

MEDICARE: ACTION MOBILITY INC

MEDICARE: ACTION MOBILITY INC
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 Supplies203000438IL

General Provider Information

NPI Number : 1922097096
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION MOBILITY INC
Provider Business Mailing Address
First Line : PO BOX 115
Second Line :
City : PEORIA
State : IL
Zip : 61650-0115
Country : US
Telephone Number : 309-674-8550
Fax Number : 309-674-8505
Provider Business Practice Location Address
First Line : 2104 W TOWNLINE RD
Second Line :
City : PEORIA
State : IL
Zip : 61615-1547
Country : US
Telephone Number : 309-674-8550
Fax Number : 309-674-8505
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN LEWIS VIVIANI
Credential :
Telephone Number : 309-674-8550
Provider Enumeration Date : 10/20/2005
Last Update Date : 04/16/2012

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Directions to “ACTION MOBILITY INC ” Practice Location

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