Provider Demographics
NPI:1619787025
Name:HINESVILLE DAY SPA LLC
Entity type:Organization
Organization Name:HINESVILLE DAY SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EICHHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:912-570-9898
Mailing Address - Street 1:951 GA HIGHWAY 196 W STE B
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4571
Mailing Address - Country:US
Mailing Address - Phone:912-570-9898
Mailing Address - Fax:912-877-4030
Practice Address - Street 1:951 GA HIGHWAY 196 W STE B
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4571
Practice Address - Country:US
Practice Address - Phone:912-570-9898
Practice Address - Fax:912-877-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty