Provider Demographics
NPI:1710794482
Name:MOBILITY CONNECTION LLC
Entity type:Organization
Organization Name:MOBILITY CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-466-7000
Mailing Address - Street 1:6402 WESTWIND WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-6772
Mailing Address - Country:US
Mailing Address - Phone:502-466-7000
Mailing Address - Fax:502-242-1969
Practice Address - Street 1:6402 WESTWIND WAY STE 6
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-6772
Practice Address - Country:US
Practice Address - Phone:502-466-7000
Practice Address - Fax:502-242-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies