Provider Demographics
NPI:1508337734
Name:MOBILITY MATTERS 360, INC.
Entity Type:Organization
Organization Name:MOBILITY MATTERS 360, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-215-0857
Mailing Address - Street 1:329 LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-3315
Mailing Address - Country:US
Mailing Address - Phone:517-266-8912
Mailing Address - Fax:517-263-1616
Practice Address - Street 1:329 LOGAN ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-3315
Practice Address - Country:US
Practice Address - Phone:517-266-8912
Practice Address - Fax:517-263-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)