Provider Demographics
NPI:1558756312
Name:SCI-FIT SACRAMENTO
Entity Type:Organization
Organization Name:SCI-FIT SACRAMENTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-846-1848
Mailing Address - Street 1:2404 DEL PASO RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-9607
Mailing Address - Country:US
Mailing Address - Phone:916-928-3736
Mailing Address - Fax:925-846-1851
Practice Address - Street 1:2404 DEL PASO RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-9607
Practice Address - Country:US
Practice Address - Phone:916-928-3736
Practice Address - Fax:925-846-1851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation