Provider Demographics
NPI:1376016691
Name:FRESCH SERVICES LLC.
Entity Type:Organization
Organization Name:FRESCH SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FRESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-974-0600
Mailing Address - Street 1:25500 HAWTHORNE BLVD STE 2120
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6833
Mailing Address - Country:US
Mailing Address - Phone:310-974-0600
Mailing Address - Fax:
Practice Address - Street 1:25500 HAWTHORNE BLVD STE 2120
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6833
Practice Address - Country:US
Practice Address - Phone:310-974-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care