Healthcare Provider Details

I. General information

NPI: 1285931634
Provider Name (Legal Business Name): UNIVERSAL MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5221 OLEANDER DRIVE
WILMINGTON NC
28403
US

IV. Provider business mailing address

5221 OLEANDER DRIVE
WILMINGTON NC
28403
US

V. Phone/Fax

Practice location:
  • Phone: 910-350-2599
  • Fax: 877-218-2486
Mailing address:
  • Phone: 910-350-2599
  • Fax: 877-218-2486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number01758
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBBIE J CHAMBLEE
Title or Position: DIRECTOR
Credential:
Phone: 910-350-2599