Provider Demographics
NPI:1629738869
Name:TOGETHER WE CAN HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:TOGETHER WE CAN HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KESHA
Authorized Official - Middle Name:EDEN
Authorized Official - Last Name:CHERON
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:973-393-0551
Mailing Address - Street 1:1010 GIFFORD CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6801
Mailing Address - Country:US
Mailing Address - Phone:973-393-0551
Mailing Address - Fax:
Practice Address - Street 1:1010 GIFFORD CT
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6801
Practice Address - Country:US
Practice Address - Phone:973-393-0551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare