Provider Demographics
NPI:1902114440
Name:APPLE DAY SPA & SALON INC.
Entity Type:Organization
Organization Name:APPLE DAY SPA & SALON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOUSHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-253-4770
Mailing Address - Street 1:152 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1120
Mailing Address - Country:US
Mailing Address - Phone:570-253-4770
Mailing Address - Fax:570-251-9417
Practice Address - Street 1:152 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1120
Practice Address - Country:US
Practice Address - Phone:570-253-4770
Practice Address - Fax:570-251-9417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACB092629L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies