Provider Demographics
NPI:1932447836
Name:THE SPA EXPECTATIONS CORPORATION
Entity Type:Organization
Organization Name:THE SPA EXPECTATIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-206-9499
Mailing Address - Street 1:1243 LEGACY GREENE AVE
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4386
Mailing Address - Country:US
Mailing Address - Phone:646-206-9499
Mailing Address - Fax:919-435-6855
Practice Address - Street 1:21022 94TH AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1507
Practice Address - Country:US
Practice Address - Phone:646-206-9499
Practice Address - Fax:919-435-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care