MEDICARE: MERICI, LTD DBA 101 MOBILITY CINCINNATI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171WH0202X	Home Modifications Contractor
2	171WV0202X	Vehicle Modifications Contractor
3	332BC3200X	Customized Equipment (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1134603715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERICI, LTD DBA 101 MOBILITY CINCINNATI

Provider Business Mailing Address
First Line	:	10820 KENWOOD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-2812
Country	:	US
Telephone Number	:	513-538-0900
Fax Number	:	513-824-8902

Provider Business Practice Location Address
First Line	:	10820 KENWOOD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-2812
Country	:	US
Telephone Number	:	513-538-0900
Fax Number	:	513-824-8902

Authorized Official
Title or Position	:	OWNER
Name	:	MOIRA BONN
Credential	:
Telephone Number	:	513-324-6591

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	10/29/2024

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