Provider Demographics
NPI:1114474996
Name:H2ORS, INC.
Entity Type:Organization
Organization Name:H2ORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-823-9193
Mailing Address - Street 1:21C ORINDA WAY
Mailing Address - Street 2:#269
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2534
Mailing Address - Country:US
Mailing Address - Phone:650-823-9193
Mailing Address - Fax:
Practice Address - Street 1:21C ORINDA WAY
Practice Address - Street 2:#269
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2534
Practice Address - Country:US
Practice Address - Phone:650-823-9193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier