Provider Demographics
NPI:1053589150
Name:SFA MOBILITY LLC
Entity type:Organization
Organization Name:SFA MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MICHOWSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-655-9242
Mailing Address - Street 1:1329 N UNIVERSITY DR
Mailing Address - Street 2:SUITE F-4
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4232
Mailing Address - Country:US
Mailing Address - Phone:936-559-5522
Mailing Address - Fax:
Practice Address - Street 1:1329 N UNIVERSITY DR
Practice Address - Street 2:SUITE F-4
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4232
Practice Address - Country:US
Practice Address - Phone:936-559-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32034522279332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies