Healthcare Provider Details

I. General information

NPI: 1760611446
Provider Name (Legal Business Name): FINALET COMPANIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 TYLER ST APT 15
RIVERSIDE CA
92503-2251
US

IV. Provider business mailing address

PO BOX 70418
RIVERSIDE CA
92513-0418
US

V. Phone/Fax

Practice location:
  • Phone: 951-689-6764
  • Fax:
Mailing address:
  • Phone: 951-689-6764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MARIO HOUSIE JR.
Title or Position: OWNER/MANAGER
Credential:
Phone: 951-689-6764