Provider Demographics
NPI:1568483410
Name:MOBILITY LIVING INC.
Entity Type:Organization
Organization Name:MOBILITY LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:KODY
Authorized Official - Last Name:KRAPFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-672-7237
Mailing Address - Street 1:1215 SE 44TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73129-6813
Mailing Address - Country:US
Mailing Address - Phone:405-672-7237
Mailing Address - Fax:405-672-7324
Practice Address - Street 1:1215 SE 44TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73129-6813
Practice Address - Country:US
Practice Address - Phone:405-672-7237
Practice Address - Fax:405-672-7324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100812820AMedicaid
OK100812820AMedicaid
=========-001OtherBCBS OF OKLA.