Provider Demographics
NPI:1982484846
Name:BACK FOR MORE, LLC
Entity Type:Organization
Organization Name:BACK FOR MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-430-3843
Mailing Address - Street 1:170 GLENN WAY STE 8
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-6266
Mailing Address - Country:US
Mailing Address - Phone:650-430-3843
Mailing Address - Fax:
Practice Address - Street 1:170 GLENN WAY STE 8
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-6266
Practice Address - Country:US
Practice Address - Phone:650-430-3843
Practice Address - Fax:650-293-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies