Provider Demographics
NPI:1275385338
Name:MAS MOBILITY LLC
Entity Type:Organization
Organization Name:MAS MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:386-341-7925
Mailing Address - Street 1:3 ACCLAIM AT LIONSPAW
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32124-1504
Mailing Address - Country:US
Mailing Address - Phone:386-341-7925
Mailing Address - Fax:
Practice Address - Street 1:3 ACCLAIM AT LIONSPAW
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32124-1504
Practice Address - Country:US
Practice Address - Phone:386-341-7925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health