Provider Demographics
NPI:1982278446
Name:MOORE MOBILITY SERVICES LLC
Entity type:Organization
Organization Name:MOORE MOBILITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAXON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-622-8400
Mailing Address - Street 1:7434 E 46TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-6302
Mailing Address - Country:US
Mailing Address - Phone:918-622-8400
Mailing Address - Fax:918-665-0039
Practice Address - Street 1:7434 E 46TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-6302
Practice Address - Country:US
Practice Address - Phone:918-622-8400
Practice Address - Fax:918-665-0039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOORE MOBILITY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies