Provider Demographics
NPI:1700694551
Name:MOBILITY WITH CARE
Entity type:Organization
Organization Name:MOBILITY WITH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEZIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-899-1058
Mailing Address - Street 1:PO BOX 2344
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95741-2344
Mailing Address - Country:US
Mailing Address - Phone:510-899-1058
Mailing Address - Fax:916-313-3722
Practice Address - Street 1:9105 BRUCEVILLE RD UNIT 580342
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5947
Practice Address - Country:US
Practice Address - Phone:510-899-1058
Practice Address - Fax:916-313-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty