Provider Demographics
NPI:1588324065
Name:FERRAN MOBILE HYGIENE, LLC
Entity type:Organization
Organization Name:FERRAN MOBILE HYGIENE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-308-2833
Mailing Address - Street 1:1348 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-5121
Mailing Address - Country:US
Mailing Address - Phone:503-308-2833
Mailing Address - Fax:
Practice Address - Street 1:1348 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-5121
Practice Address - Country:US
Practice Address - Phone:503-308-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1316606908OtherNPI