Healthcare Provider Details

I. General information

NPI: 1053253815
Provider Name (Legal Business Name): VALOR MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2327 TEXAS AVE APT 202
SAINT LOUIS MO
63104-2348
US

IV. Provider business mailing address

2327 TEXAS AVE APT 202
SAINT LOUIS MO
63104-2348
US

V. Phone/Fax

Practice location:
  • Phone: 417-450-3980
  • Fax: 417-450-3980
Mailing address:
  • Phone: 417-450-3980
  • Fax: 417-450-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ALIEN DOSSOUYOVO
Title or Position: OWNER
Credential:
Phone: 417-450-3980