Provider Demographics
NPI:1700132115
Name:GERI-FIT COMPANY LLC
Entity type:Organization
Organization Name:GERI-FIT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:CPT, SSTS
Authorized Official - Phone:888-437-4348
Mailing Address - Street 1:44065 BIG SKY WAY
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5311
Mailing Address - Country:US
Mailing Address - Phone:888-437-4348
Mailing Address - Fax:
Practice Address - Street 1:44065 BIG SKY WAY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5311
Practice Address - Country:US
Practice Address - Phone:888-437-4348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA032893171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty