Provider Demographics
NPI:1780487538
Name:REJUVENATE HEALTH SPA
Entity type:Organization
Organization Name:REJUVENATE HEALTH SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:JABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:603-562-6897
Mailing Address - Street 1:17 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461-7832
Mailing Address - Country:US
Mailing Address - Phone:603-562-6897
Mailing Address - Fax:603-218-6897
Practice Address - Street 1:1102 ROUTE 119
Practice Address - Street 2:
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461
Practice Address - Country:US
Practice Address - Phone:603-562-6897
Practice Address - Fax:603-218-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center