Provider Demographics
NPI:1184249054
Name:MOBIUS MOBILITY, LLC
Entity type:Organization
Organization Name:MOBIUS MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MERROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-233-0472
Mailing Address - Street 1:540 N COMMERCIAL ST STE 310
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1146
Mailing Address - Country:US
Mailing Address - Phone:833-346-4268
Mailing Address - Fax:603-621-0789
Practice Address - Street 1:540 N COMMERCIAL ST STE 310
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1146
Practice Address - Country:US
Practice Address - Phone:833-346-4268
Practice Address - Fax:603-621-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment