Provider Demographics
NPI:1568979706
Name:SPIN CYCLE LAUNDROMAT LLC
Entity Type:Organization
Organization Name:SPIN CYCLE LAUNDROMAT LLC
Other - Org Name:SPIN CYCLE LAUNDRY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIAN
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-573-0233
Mailing Address - Street 1:95 BYSTREK DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-8706
Mailing Address - Country:US
Mailing Address - Phone:860-573-0233
Mailing Address - Fax:860-788-3133
Practice Address - Street 1:121 WEBSTER SQUARE RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-2328
Practice Address - Country:US
Practice Address - Phone:860-224-7746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare