Provider Demographics
NPI:1144400086
Name:INDULGE A BATH INC.
Entity Type:Organization
Organization Name:INDULGE A BATH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONITATIBUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-772-7807
Mailing Address - Street 1:6915 15TH ST E STE 203
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-7203
Mailing Address - Country:US
Mailing Address - Phone:866-399-2284
Mailing Address - Fax:941-753-4332
Practice Address - Street 1:6915 15TH ST E STE 203
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-7203
Practice Address - Country:US
Practice Address - Phone:866-399-2284
Practice Address - Fax:941-753-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies