Healthcare Provider Details

I. General information

NPI: 1881818946
Provider Name (Legal Business Name): ABSOLUTE MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 AUTUMN LEAF DR APT 23
NASHUA NH
03060-5558
US

IV. Provider business mailing address

7 AUTUMN LEAF DR APT 23
NASHUA NH
03060-5558
US

V. Phone/Fax

Practice location:
  • Phone: 603-566-6886
  • Fax: 603-521-7326
Mailing address:
  • Phone: 603-566-6886
  • Fax: 603-521-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. STEFAN RUTHERFORD
Title or Position: PESIDENT
Credential:
Phone: 603-566-6886