Healthcare Provider Details

I. General information

NPI: 1114506029
Provider Name (Legal Business Name): KEEP IT MOVING MOBILE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6793 RICKWOOD DR
PENSACOLA FL
32526
US

IV. Provider business mailing address

3001 N DAVIS HWY UNIT 2476
PENSACOLA FL
32513-7721
US

V. Phone/Fax

Practice location:
  • Phone: 334-722-1666
  • Fax:
Mailing address:
  • Phone: 334-722-1666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY NELSON-ZEIGLER
Title or Position: OWNER
Credential:
Phone: 850-281-0403