Provider Demographics
NPI:1063552362
Name:MOBILITY AIDS, INC.
Entity type:Organization
Organization Name:MOBILITY AIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-714-9355
Mailing Address - Street 1:4984 B U BOWMAN DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-9045
Mailing Address - Country:US
Mailing Address - Phone:678-714-9355
Mailing Address - Fax:678-714-2136
Practice Address - Street 1:4984 B U BOWMAN DR
Practice Address - Street 2:SUITE 109
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-9045
Practice Address - Country:US
Practice Address - Phone:678-714-9355
Practice Address - Fax:678-714-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1153200001Medicare ID - Type Unspecified