Provider Demographics
NPI:1386892214
Name:MAKING YOU MOBILE, LLC
Entity type:Organization
Organization Name:MAKING YOU MOBILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MISS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-421-7700
Mailing Address - Street 1:1000 2ND AVE S
Mailing Address - Street 2:SUITE 312
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-8105
Mailing Address - Country:US
Mailing Address - Phone:843-280-2909
Mailing Address - Fax:843-280-3735
Practice Address - Street 1:1000 2ND AVE S
Practice Address - Street 2:SUITE 312
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-8105
Practice Address - Country:US
Practice Address - Phone:843-280-2909
Practice Address - Fax:843-280-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies