Provider Demographics
NPI:1659801686
Name:PREFERRED MOBILITY, LLC
Entity Type:Organization
Organization Name:PREFERRED MOBILITY, LLC
Other - Org Name:PREFERRED MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-238-4848
Mailing Address - Street 1:7110 GOLDEN RING RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221
Mailing Address - Country:US
Mailing Address - Phone:410-238-4848
Mailing Address - Fax:
Practice Address - Street 1:7110 GOLDEN RING RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:410-238-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies