OrganizationThe Mobility Depot Of Lafayette, LlcDurable Medical Equipment & Medical SuppliesSuppliersPractice Address258 Bendel Rd, Lafayette, LA 70503-2919(337) 233-9382(225) 215-2222PECOS EnrollmentBased on the most recent information from CMS, provider The Mobility Depot Of Lafayette, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1144362765Provider TypeOrganizationFull NameThe Mobility Depot Of Lafayette, LlcSubpartNoEnumeration Date2/12/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address258 Bendel Rd, Lafayette, LA 70503-2919Phone(337) 233-9382Fax(337) 233-9415Mailing LocationMailing Address7931 One Calais Ave, Baton Rouge, LA 70809-3403Phone(225) 215-2222Fax(225) 215-2221Authorized OfficialNameMenville, Keith (Owner)Phone(337) 233-9382Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1131105DescriptionMedicaidIssuerUnlistedLouisiana