Healthcare Provider Details

I. General information

NPI: 1922081579
Provider Name (Legal Business Name): MOBILITY OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 W MAIN ST
LANSING MI
48917-4338
US

IV. Provider business mailing address

2301 W MAIN ST
LANSING MI
48917-4338
US

V. Phone/Fax

Practice location:
  • Phone: 800-292-1971
  • Fax: 517-886-4141
Mailing address:
  • Phone: 800-292-1971
  • Fax: 517-886-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. WAYNE FRANCES GOODRICH
Title or Position: OWNER
Credential:
Phone: 800-292-1971