Provider Demographics
NPI:1063630374
Name:FINALEEE WIDE SHOES
Entity Type:Organization
Organization Name:FINALEEE WIDE SHOES
Other - Org Name:ARC LENDING INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PREESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-273-8550
Mailing Address - Street 1:23010 LAKE FOREST DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1351
Mailing Address - Country:US
Mailing Address - Phone:949-273-8550
Mailing Address - Fax:949-273-8552
Practice Address - Street 1:23010 LAKE FOREST DR
Practice Address - Street 2:SUITE D
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1351
Practice Address - Country:US
Practice Address - Phone:949-273-8550
Practice Address - Fax:949-273-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies