Provider Demographics
NPI:1790945780
Name:UNIVERSAL MOBILITY EQUIPMENT, LLC
Entity Type:Organization
Organization Name:UNIVERSAL MOBILITY EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-402-8393
Mailing Address - Street 1:9745 W GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9547
Mailing Address - Country:US
Mailing Address - Phone:559-651-2324
Mailing Address - Fax:559-651-2553
Practice Address - Street 1:9745 W GROVE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9547
Practice Address - Country:US
Practice Address - Phone:559-651-2324
Practice Address - Fax:559-651-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment