Provider Demographics
NPI:1235579624
Name:NOW VOYAGER LLC
Entity Type:Organization
Organization Name:NOW VOYAGER LLC
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-222-9264
Mailing Address - Street 1:2109 OTOOLE AVE
Mailing Address - Street 2:STE. C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1338
Mailing Address - Country:US
Mailing Address - Phone:669-222-9264
Mailing Address - Fax:
Practice Address - Street 1:2109 OTOOLE AVE
Practice Address - Street 2:STE. C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1338
Practice Address - Country:US
Practice Address - Phone:669-222-9264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies