Provider Demographics
NPI:1679003289
Name:THREE VERSIONS INC
Entity Type:Organization
Organization Name:THREE VERSIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENDERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-252-7239
Mailing Address - Street 1:444 CAMINO DEL RIO S STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3510
Mailing Address - Country:US
Mailing Address - Phone:619-252-7239
Mailing Address - Fax:619-460-5821
Practice Address - Street 1:444 CAMINO DEL RIO S STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3510
Practice Address - Country:US
Practice Address - Phone:619-252-7239
Practice Address - Fax:619-460-5821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health