Provider Demographics
NPI:1043474638
Name:MOBILITY PLUS INC
Entity Type:Organization
Organization Name:MOBILITY PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:CFO, CFTS
Authorized Official - Phone:501-588-7676
Mailing Address - Street 1:10503 MAUMELLE BLVD STE 3A
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6742
Mailing Address - Country:US
Mailing Address - Phone:877-310-7587
Mailing Address - Fax:877-762-6109
Practice Address - Street 1:10503 MAUMELLE BLVD STE 3A
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72113-6742
Practice Address - Country:US
Practice Address - Phone:877-310-7587
Practice Address - Fax:877-762-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CFTS0132OtherABC
CFO02089OtherABC
CFO02089OtherABC