Provider Demographics
NPI:1083221139
Name:J & E WELLNESS LLC
Entity Type:Organization
Organization Name:J & E WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:PAULINO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:978-239-5543
Mailing Address - Street 1:50 GROVE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2259
Mailing Address - Country:US
Mailing Address - Phone:978-594-4477
Mailing Address - Fax:
Practice Address - Street 1:50 GROVE ST STE 204
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2259
Practice Address - Country:US
Practice Address - Phone:978-594-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty