Provider Demographics
NPI:1962189811
Name:STABILITY MOBILIZED, LLC
Entity type:Organization
Organization Name:STABILITY MOBILIZED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-506-6623
Mailing Address - Street 1:3490 OVERLAND DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86404-2203
Mailing Address - Country:US
Mailing Address - Phone:614-506-6623
Mailing Address - Fax:
Practice Address - Street 1:3490 OVERLAND DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86404-2203
Practice Address - Country:US
Practice Address - Phone:614-506-6623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health