Provider Demographics
NPI:1083158398
Name:FRESHLY DONE, INC
Entity Type:Organization
Organization Name:FRESHLY DONE, INC
Other - Org Name:INTERVENTION SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-254-6833
Mailing Address - Street 1:431 E SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4015
Mailing Address - Country:US
Mailing Address - Phone:727-254-6833
Mailing Address - Fax:
Practice Address - Street 1:431 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4015
Practice Address - Country:US
Practice Address - Phone:727-254-6833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management