Provider Demographics
NPI:1922261239
Name:LIFT & MOBILITY SERVICES LLC
Entity Type:Organization
Organization Name:LIFT & MOBILITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-550-9619
Mailing Address - Street 1:6004 MECCA ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5030
Mailing Address - Country:US
Mailing Address - Phone:432-550-9619
Mailing Address - Fax:432-272-3310
Practice Address - Street 1:6004 MECCA ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5030
Practice Address - Country:US
Practice Address - Phone:432-550-9619
Practice Address - Fax:432-272-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment