| Organization Name: | THE OLISA FOUNDATION |
| NPI Number: | 1013284546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | N ROBERT OLISA (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2521 N Main St Unit 1-206 Las Cruces |
| State: | NM US |
| Postal Code: | 880011154 |
| Phone Number: | 9152084431 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2011 |
| NPI Last Update Date: | 05/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 335G00000X |
| License Number: | NAFDAC A7469L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ZZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Medical Foods Supplier |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. |