Provider Demographics
NPI:1033354253
Name:ACHIEVE MOBILITY, L.L.C.
Entity Type:Organization
Organization Name:ACHIEVE MOBILITY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-567-6767
Mailing Address - Street 1:1860 EXECUTIVE DR STE E3
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4839
Mailing Address - Country:US
Mailing Address - Phone:262-567-6767
Mailing Address - Fax:262-567-6765
Practice Address - Street 1:1860 EXECUTIVE DR STE E3
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-4839
Practice Address - Country:US
Practice Address - Phone:262-567-6767
Practice Address - Fax:262-567-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies