Provider Demographics
NPI:1285089409
Name:ALABAMA MOBILITY AND DME LLC
Entity type:Organization
Organization Name:ALABAMA MOBILITY AND DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-943-3606
Mailing Address - Street 1:PO BOX 832
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36536-0832
Mailing Address - Country:US
Mailing Address - Phone:251-943-3606
Mailing Address - Fax:251-943-0121
Practice Address - Street 1:1313 S COMMERCIAL DR
Practice Address - Street 2:STE 102B
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2402
Practice Address - Country:US
Practice Address - Phone:251-943-3606
Practice Address - Fax:251-943-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1431332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies