Provider Demographics
NPI:1992814131
Name:R & R MOBILITY CONVERSIONS, INC.
Entity type:Organization
Organization Name:R & R MOBILITY CONVERSIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:MOFLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-335-8646
Mailing Address - Street 1:400 S MARION RD
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-0230
Mailing Address - Country:US
Mailing Address - Phone:605-335-8646
Mailing Address - Fax:605-334-3235
Practice Address - Street 1:400 S MARION RD
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-0230
Practice Address - Country:US
Practice Address - Phone:605-335-8646
Practice Address - Fax:605-334-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD51001000054218TST001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies