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Presidential Mobility
Customized Equipment (DME) in Fayetteville, Arkansas
NPI 1710975008

Presidential Mobility is a Customized Equipment (DME) based in Fayetteville, AR and is specialized in Customized Equipment. Presidential Mobility practices in Fayetteville, AR. The NPI Number for Presidential Mobility is 1710975008 and holds a License No. (Arkansas).

The current practice location address for Presidential Mobility is 2889 N College Ave, Fayetteville, AR and can be reached out via phone at 479-332-4990 and via fax at 479-332-4290. You can also correspond with Presidential Mobility through the mailing address at PO BOX 10665, FAYETTEVILLE, AR - 72703-0046 (mailing address contact number: 479-332-4990).

Location: 2889 N College Ave, Fayetteville, AR, 72703-0046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710975008
Provider Name
Presidential Mobility
Credential
Provider Entity Type
Organization
Address
2889 N College Ave, Fayetteville, AR, 72703-0046
Phone Number
479-332-4990
Fax Number
479-332-4290
Provider Enumeration Date
10/11/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141768784 05 AR
48128 01 AR BLUE CROSS BLUE SHIELD
130311772 05 AR
137085716 05 AR
institution
Provider Business Practice Location Address Details
Address
2889 N College Ave
City
Fayetteville
State
Arkansas
Zip
72703-3413
Phone Number
479-332-4990
Fax Number
479-332-4290
person
Provider Business Mailing Address Details
Address
Po Box 10665
City
Fayetteville
State
Arkansas
Zip
72703-0046
Phone Number
479-332-4990
Fax Number
479-332-4290
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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