Healthcare Provider Details

I. General information

NPI: 1780113696
Provider Name (Legal Business Name): RELIANCE MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 TROTWOOD AVE STE 5
COLUMBIA TN
38401-4983
US

IV. Provider business mailing address

PO BOX 3307
SUWANEE GA
30024-0990
US

V. Phone/Fax

Practice location:
  • Phone: 877-494-4956
  • Fax: 888-243-9528
Mailing address:
  • Phone: 877-494-4956
  • Fax: 888-243-9528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAVID BAXTER
Title or Position: OWNER
Credential:
Phone: 931-375-1775