MOBI-DENT P.C. NPI 1205001914

NPI Information

MOBI-DENT P.C. is a residential treatment facility physical disabilities in Flossmoor, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MOBI-DENT P.C. NPI is 1205001914. The provider is registered as an organization entity type.

The provider's business location address is:

1719 HEATHER HILL CRES
FLOSSMOOR, IL
ZIP 60422-041
Phone: (708) 228-0474
Fax: (314) 837-8918

The provider's authorized official is Avery Cortez Powell .
The authorized official title is President and has the following contact phone number (708) 228-0474.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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