Provider Demographics
NPI:1073005229
Name:MUSICAL YOGA ADVENTURES, LLC
Entity Type:Organization
Organization Name:MUSICAL YOGA ADVENTURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:MMUSIC
Authorized Official - Phone:908-797-2003
Mailing Address - Street 1:449 STAMETS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848-2216
Mailing Address - Country:US
Mailing Address - Phone:908-797-2003
Mailing Address - Fax:
Practice Address - Street 1:90 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1413
Practice Address - Country:US
Practice Address - Phone:908-797-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty