Provider Demographics
NPI:1679334254
Name:ZEN HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:ZEN HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NITIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:631-455-1989
Mailing Address - Street 1:15 MELWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2022
Mailing Address - Country:US
Mailing Address - Phone:631-455-1989
Mailing Address - Fax:
Practice Address - Street 1:701 WILTSEYS MILL RD STE 104
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2650
Practice Address - Country:US
Practice Address - Phone:631-455-1989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty