Provider Demographics
NPI:1982815189
Name:MOBILITY ENTERPRISE SOLUTIONS, INC
Entity Type:Organization
Organization Name:MOBILITY ENTERPRISE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-494-5302
Mailing Address - Street 1:13574 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-1218
Mailing Address - Country:US
Mailing Address - Phone:703-494-5302
Mailing Address - Fax:703-494-4133
Practice Address - Street 1:13574 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-1218
Practice Address - Country:US
Practice Address - Phone:703-494-5302
Practice Address - Fax:703-494-4133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4573500001Medicare ID - Type Unspecified