Provider Demographics
NPI:1124229653
Name:PERSONAL MOBILITY SERVICES
Entity Type:Organization
Organization Name:PERSONAL MOBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LA SHONDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LONG-MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-988-5332
Mailing Address - Street 1:9705 S.4TH AVE.
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305
Mailing Address - Country:US
Mailing Address - Phone:323-756-0921
Mailing Address - Fax:
Practice Address - Street 1:9705 S.4TH AVE.
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305
Practice Address - Country:US
Practice Address - Phone:323-756-0921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle