Organization Name: | ACCESS IV, LLC |
NPI Number: | 1093716813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROXANNE SMITH (CORPORATE COUNSEL) |
Mailing Address: | 455 Reservation Rd G Marina |
State: | CA US |
Postal Code: | 939333328 |
Phone Number: | 8318835109 |
Fax Number: | 8313848065 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |