Basic Information
| Provider Information | |||||||||
| NPI: | 1790945780 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSAL MOBILITY EQUIPMENT, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9745 W GROVE AVE | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932919547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596512324 | ||||||||
| FaxNumber: | 5596512553 | ||||||||
| Practice Location | |||||||||
| Address1: | 9745 W GROVE AVE | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932919547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596512324 | ||||||||
| FaxNumber: | 5596512553 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2008 | ||||||||
| LastUpdateDate: | 06/12/2008 | ||||||||
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| AuthorizedOfficialLastName: | THORNTON | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | GENERAL MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8184028393 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No ID Information.