Provider Demographics
NPI:1275397671
Name:CORRECTED MOBILITY
Entity Type:Organization
Organization Name:CORRECTED MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-223-8651
Mailing Address - Street 1:1721 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-2848
Mailing Address - Country:US
Mailing Address - Phone:228-284-0446
Mailing Address - Fax:228-284-0454
Practice Address - Street 1:1721 29TH AVE
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2848
Practice Address - Country:US
Practice Address - Phone:228-284-0446
Practice Address - Fax:228-284-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies