Healthcare Provider Details

I. General information

NPI: 1376871376
Provider Name (Legal Business Name): AMERICAN MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 J AND M DRIVE
NEW CASTLE DE
19709
US

IV. Provider business mailing address

101 J AND M DRIVE
NEW CASTLE DE
19709
US

V. Phone/Fax

Practice location:
  • Phone: 302-276-1801
  • Fax: 302-276-1397
Mailing address:
  • Phone: 302-276-1801
  • Fax: 302-276-1397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY GERVASIO
Title or Position: PRESIDENT
Credential:
Phone: 215-244-6600