Provider Demographics
NPI:1629211412
Name:GLAMOUR BATHS, INC.
Entity Type:Organization
Organization Name:GLAMOUR BATHS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-375-9467
Mailing Address - Street 1:26372 DEERE CT
Mailing Address - Street 2:SUITE H
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-7075
Mailing Address - Country:US
Mailing Address - Phone:951-375-9467
Mailing Address - Fax:951-346-3793
Practice Address - Street 1:26372 DEERE CT
Practice Address - Street 2:SUITE H
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-7075
Practice Address - Country:US
Practice Address - Phone:951-375-9467
Practice Address - Fax:951-346-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies