OrganizationActive
Active Mobility Supply, LLC.
NPI 1366549826 · Durable Medical Equipment & Medical Supplies · North Little Rock, AR
Provider details
- NPI number
- 1366549826
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jon Walden, Managing Member(501) 835-0100
Specialties & taxonomies
Suppliers
Practice location
6100 Getty Drive
Suite E
North Little Rock, AR 72117
Phone: (501) 835-0100
Fax: (501) 835-0103
Approximate (ZIP-level) locationGet directions
Mailing address
6100 Getty Drive
North Little Rock, AR 72117
Registry dates
- Enumerated
- 2006-09-19
- Last updated
- 2008-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.