Advanced Mobility LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Goodrich, MI

NPI 1619909405 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1619909405
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
C (MI)
Legal business name
ADVANCED MOBILITY LLC
Practice address
10469 Grandview
Goodrich, MI 48438
Phone
(810) 240-4055
Fax
(810) 953-6560
NPI assigned
Jul 6, 2006
Organization subpart
No

Authorized official

Name
Mr. Shaun Sirbaugh
Title
President/Owner
Phone
(810) 240-4055

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C MI Yes

Addresses

Primary practice location

10469 Grandview
Goodrich, MI 48438

Mailing address

12745 S Saginaw St
Ste. 806 PMB. 363
Grand Blanc, MI 48439-2437
Phone (810) 240-4055

Other identifiers

IdentifierTypeStateIssuer
488227887MedicaidMI

Other providers in Goodrich, MI

All providers in Goodrich, MI · Durable Medical Equipment & Medical Supplies in Michigan

Sources for this page

Verify at the official NPI Registry.