Provider Demographics
NPI:1821238650
Name:YOUNG ENTERPRISES
Entity Type:Organization
Organization Name:YOUNG ENTERPRISES
Other - Org Name:AJARA SPA AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-746-0055
Mailing Address - Street 1:14644 SE EASTGATE WAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6457
Mailing Address - Country:US
Mailing Address - Phone:425-746-0055
Mailing Address - Fax:425-746-0055
Practice Address - Street 1:14644 SE EASTGATE WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6457
Practice Address - Country:US
Practice Address - Phone:425-746-0055
Practice Address - Fax:425-746-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA78938173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173C00000XOther Service ProvidersReflexologistGroup - Single Specialty