Provider Demographics
NPI:1477763761
Name:SEALS ON WHEELS
Entity Type:Organization
Organization Name:SEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JO
Authorized Official - Middle Name:MILLER
Authorized Official - Last Name:JASS
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:714-692-5470
Mailing Address - Street 1:25563 ARAGON WAY
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-6274
Mailing Address - Country:US
Mailing Address - Phone:714-692-5470
Mailing Address - Fax:
Practice Address - Street 1:25563 ARAGON WAY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-6274
Practice Address - Country:US
Practice Address - Phone:714-692-5470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable