Provider Demographics
NPI:1003631946
Name:WELL HYDRATION AND SKINCARE
Entity type:Organization
Organization Name:WELL HYDRATION AND SKINCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:609-529-0303
Mailing Address - Street 1:853 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-4562
Mailing Address - Country:US
Mailing Address - Phone:609-374-4178
Mailing Address - Fax:
Practice Address - Street 1:853 MILL CREEK RD
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-4562
Practice Address - Country:US
Practice Address - Phone:609-374-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty