Provider Demographics
NPI:1821007618
Name:QUALITY MOBILITY INC
Entity Type:Organization
Organization Name:QUALITY MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-564-1414
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34423-0115
Mailing Address - Country:US
Mailing Address - Phone:352-564-1414
Mailing Address - Fax:352-564-2525
Practice Address - Street 1:609 SE US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4807
Practice Address - Country:US
Practice Address - Phone:352-564-1414
Practice Address - Fax:352-564-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9766OtherBLUE CROSS BLUE SHIELD
FL031101400Medicaid
FLR9766OtherBLUE CROSS BLUE SHIELD