Provider Demographics
NPI:1134579832
Name:LAST ENTERPRISE, INC
Entity type:Organization
Organization Name:LAST ENTERPRISE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KINSTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-212-2292
Mailing Address - Street 1:6326 MAIN AVE
Mailing Address - Street 2:NO 22
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4333
Mailing Address - Country:US
Mailing Address - Phone:916-212-2292
Mailing Address - Fax:
Practice Address - Street 1:6326 MAIN AVE
Practice Address - Street 2:NO 22
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4333
Practice Address - Country:US
Practice Address - Phone:916-212-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty