Healthcare Provider Details
I. General information
NPI: 1255721114
Provider Name (Legal Business Name): UNITED SEATING AND MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2015
Last Update Date: 05/12/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 PROGRESS PKWY
SULLIVAN MO
63080-2359
US
IV. Provider business mailing address
805 BROOK STREET SUITE 402
ROCKY HILL CT
06067-3431
US
V. Phone/Fax
- Phone: 573-658-9831
- Fax:
- Phone: 314-447-7500
- Fax: 314-447-7830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAMAS
GUENTZ
Title or Position: CFO
Credential:
Phone: 860-257-3443