Organization Name: | THRIVE FOR LIFE LLC |
NPI Number: | 1053790899 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAMIAN SEMPIO (MEMBER) |
Mailing Address: | 45-1047 Pahuwai Pl Kaneohe |
State: | HI US |
Postal Code: | 967443311 |
Phone Number: | 8082262440 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2015 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | OT-585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |