Healthcare Provider Details
I. General information
NPI: 1952308611
Provider Name (Legal Business Name): ACCESS AND MOBILITY ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2005
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 VIRGINIA AVE
HUNTINGTON WV
25701-1123
US
IV. Provider business mailing address
302 VIRGINIA AVE
HUNTINGTON WV
25701-1123
US
V. Phone/Fax
- Phone: 304-522-6808
- Fax: 304-697-6808
- Phone: 304-522-6808
- Fax: 304-697-6808
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 008857 |
| License Number State | WV |
VIII. Authorized Official
Name: MR.
ROBERT
N
MURDOCK
Title or Position: OWNER
Credential:
Phone: 304-522-6808