| Organization Name: | DO WELL BE WELL OF HASKELL |
| NPI Number: | 1154760841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN HALL (OWNER) |
| Mailing Address: | 1141 Ringwood Ave Suite 7 Haskell |
| State: | NJ US |
| Postal Code: | 074201565 |
| Phone Number: | 9738312880 |
| Fax Number: | 8622480528 |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |