Provider Demographics
NPI:1720855638
Name:RU WELLNESS RETREAT
Entity Type:Organization
Organization Name:RU WELLNESS RETREAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, LE
Authorized Official - Phone:863-940-9111
Mailing Address - Street 1:706 N MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-1746
Mailing Address - Country:US
Mailing Address - Phone:863-940-9111
Mailing Address - Fax:
Practice Address - Street 1:706 N MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-1746
Practice Address - Country:US
Practice Address - Phone:863-940-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEMPRESS NATURALS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty