Provider Demographics
NPI:1063949915
Name:MOBLEY IN HOME CARE LLC
Entity type:Organization
Organization Name:MOBLEY IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-947-2950
Mailing Address - Street 1:5125 LAURELWOOD LN NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1927
Mailing Address - Country:US
Mailing Address - Phone:256-947-2950
Mailing Address - Fax:
Practice Address - Street 1:5125 LAURELWOOD LN NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1927
Practice Address - Country:US
Practice Address - Phone:256-947-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND-N-HAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care