Provider Demographics
NPI:1265750590
Name:TOTAL SURGERY RECOVERY
Entity type:Organization
Organization Name:TOTAL SURGERY RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:N
Authorized Official - Last Name:MORETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-489-7991
Mailing Address - Street 1:2696 IPULEI PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3508
Mailing Address - Country:US
Mailing Address - Phone:808-489-7991
Mailing Address - Fax:
Practice Address - Street 1:2696 IPULEI PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3508
Practice Address - Country:US
Practice Address - Phone:808-489-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies