Over The Moon Enrichment Agency

LBN: Over The Moon Enrichment Agency
Over The Moon Enrichment Agency is an health care organization with primary practice located at 61 A Main Street , Pine Bush NY 12566. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Over The Moon Enrichment Agency can be contacted via phone (845) 524-4411, or through Russell, Suzanne via phone (845) 524-4411.

Contact Information

Primary practice address
61 A Main Street Pine Bush NY 12566
Phone: (845) 524-4411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Suzanne
Phone: (845) 524-4411

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1902271620
LBN Legal business name Over The Moon Enrichment Agency
DBA Doing business as
Authorized official Russell, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2015
Last updated Dec 7th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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