Provider Demographics
NPI:1285933598
Name:MOBILITY ONE LLC
Entity type:Organization
Organization Name:MOBILITY ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANKULICH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-274-2165
Mailing Address - Street 1:930 MEILY ST
Mailing Address - Street 2:930 MEILY STREET
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-2855
Mailing Address - Country:US
Mailing Address - Phone:717-274-2165
Mailing Address - Fax:
Practice Address - Street 1:930 MEILY ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-2855
Practice Address - Country:US
Practice Address - Phone:717-274-2165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA85314236332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies