Provider Demographics
NPI:1912451956
Name:FRATANTONI LIFESTYLES LLC
Entity Type:Organization
Organization Name:FRATANTONI LIFESTYLES LLC
Other - Org Name:SCOOTER.SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:FRATANTONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-892-4840
Mailing Address - Street 1:9811 E BELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2339
Mailing Address - Country:US
Mailing Address - Phone:816-892-4840
Mailing Address - Fax:
Practice Address - Street 1:9811 E BELL RD STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2339
Practice Address - Country:US
Practice Address - Phone:816-892-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies