Crest Custom Mobility LLC
Durable Medical Equipment & Medical Supplies in Destin, FL. Organization (NPI-2).
NPI number1225847833
StatusActive
Last updated in NPPESNov 10, 2026
Details
- NPI
- 1225847833
- Entity type
- Organization (NPI-2)
- Legal business name
- Crest Custom Mobility LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2025
- Certification date
- Nov 10, 2026
- Last updated
- Nov 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
505 Mountain Dr Ste IDestin, FL 32541-7334
Phone 321-360-6016
Mailing address
123 Puckett CirCarrollton, AL 35447-2227
Phone 205-383-9041 · Fax 205-900-7137
Authorized official
Milton Watkins
Coo
2053839041
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