Provider Demographics
NPI:1689409443
Name:MOBILITY CARE
Entity type:Organization
Organization Name:MOBILITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-457-6579
Mailing Address - Street 1:3927 BLOCK DR APT 2119
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4648
Mailing Address - Country:US
Mailing Address - Phone:706-457-6579
Mailing Address - Fax:
Practice Address - Street 1:1025 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7528
Practice Address - Country:US
Practice Address - Phone:706-457-6579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty