Provider Demographics
NPI:1821522061
Name:TOTALLY MOBILE LLC
Entity Type:Organization
Organization Name:TOTALLY MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MASA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BEARSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-366-4338
Mailing Address - Street 1:439 ROUTE 6A
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1470
Mailing Address - Country:US
Mailing Address - Phone:508-366-4338
Mailing Address - Fax:508-888-3392
Practice Address - Street 1:439 ROUTE 6A
Practice Address - Street 2:
Practice Address - City:EAST SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02537-1470
Practice Address - Country:US
Practice Address - Phone:508-366-4338
Practice Address - Fax:508-888-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies