Provider Demographics
NPI:1386199776
Name:FLEETWOOD ACCESSIBILITY SERVICES
Entity Type:Organization
Organization Name:FLEETWOOD ACCESSIBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-775-7599
Mailing Address - Street 1:48 MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-1015
Mailing Address - Country:US
Mailing Address - Phone:585-232-8232
Mailing Address - Fax:585-232-4761
Practice Address - Street 1:48 MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1015
Practice Address - Country:US
Practice Address - Phone:585-232-8232
Practice Address - Fax:585-232-4761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment