Provider Demographics
NPI:1689391831
Name:LUXURY WELLNESS LIVING LLC
Entity Type:Organization
Organization Name:LUXURY WELLNESS LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDUAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-601-3418
Mailing Address - Street 1:9023 221ST PL
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1314
Mailing Address - Country:US
Mailing Address - Phone:917-601-3418
Mailing Address - Fax:
Practice Address - Street 1:9023 221ST PL
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1314
Practice Address - Country:US
Practice Address - Phone:917-601-3418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care