Provider Demographics
NPI:1194105411
Name:HATHAWAY MOBILITY SOLUTIONS, INC
Entity type:Organization
Organization Name:HATHAWAY MOBILITY SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:FILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-396-2283
Mailing Address - Street 1:2605 FERNBROOK LN N
Mailing Address - Street 2:STE A
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4736
Mailing Address - Country:US
Mailing Address - Phone:763-222-0101
Mailing Address - Fax:763-222-0102
Practice Address - Street 1:2605 FERNBROOK LN N
Practice Address - Street 2:STE A
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-4736
Practice Address - Country:US
Practice Address - Phone:763-222-0101
Practice Address - Fax:763-222-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLC692719332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment