Provider Demographics
NPI:1295151652
Name:MOBILITY SALES AND RENTAL INC
Entity type:Organization
Organization Name:MOBILITY SALES AND RENTAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-498-1601
Mailing Address - Street 1:200 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064-2297
Mailing Address - Country:US
Mailing Address - Phone:605-498-2200
Mailing Address - Fax:605-498-2202
Practice Address - Street 1:200 E 1ST ST
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064-2297
Practice Address - Country:US
Practice Address - Phone:605-498-2200
Practice Address - Fax:605-498-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty