Provider Demographics
NPI:1962635367
Name:WATER FOR YOU INC
Entity Type:Organization
Organization Name:WATER FOR YOU INC
Other - Org Name:ARROW RESPIRATORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-987-1661
Mailing Address - Street 1:9567 ARROW RTE STE L
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4550
Mailing Address - Country:US
Mailing Address - Phone:909-987-1661
Mailing Address - Fax:909-987-1663
Practice Address - Street 1:9567 ARROW RTE STE L
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4550
Practice Address - Country:US
Practice Address - Phone:909-987-1661
Practice Address - Fax:909-987-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52469332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6377030001Medicare NSC