Provider Demographics
NPI:1265981849
Name:REFRESH BODY INC
Entity type:Organization
Organization Name:REFRESH BODY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-205-2995
Mailing Address - Street 1:134 E 22ND ST
Mailing Address - Street 2:GL3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6316
Mailing Address - Country:US
Mailing Address - Phone:612-205-2995
Mailing Address - Fax:
Practice Address - Street 1:134 E 22ND ST
Practice Address - Street 2:GL3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6316
Practice Address - Country:US
Practice Address - Phone:612-205-2995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health