Provider Demographics
NPI:1558591941
Name:CELEBRATE THE STRUGGLE LLC
Entity Type:Organization
Organization Name:CELEBRATE THE STRUGGLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-756-3480
Mailing Address - Street 1:941 VILLAGE TRL
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9353
Mailing Address - Country:US
Mailing Address - Phone:386-756-3480
Mailing Address - Fax:386-788-3429
Practice Address - Street 1:941 VILLAGE TRAIL
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9353
Practice Address - Country:US
Practice Address - Phone:386-756-3480
Practice Address - Fax:386-788-3429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation