Provider Demographics
NPI:1568824233
Name:PRESIDIO THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:PRESIDIO THERAPY SERVICES, LLC
Other - Org Name:PRESIDIO THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-612-1900
Mailing Address - Street 1:1 LETTERMAN DR
Mailing Address - Street 2:SUITE C-3500
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94129-1494
Mailing Address - Country:US
Mailing Address - Phone:415-612-1900
Mailing Address - Fax:
Practice Address - Street 1:1 LETTERMAN DR
Practice Address - Street 2:SUITE C-3500
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94129-1494
Practice Address - Country:US
Practice Address - Phone:415-612-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESTED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies