Provider Demographics
NPI:1043967458
Name:ENJOY HEALTHCARE AND WELLNESS
Entity type:Organization
Organization Name:ENJOY HEALTHCARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:UGONMA
Authorized Official - Last Name:EKENGA
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:314-922-3128
Mailing Address - Street 1:1033 CORPORATE SQUARE DR STE 126
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2928
Mailing Address - Country:US
Mailing Address - Phone:314-922-3128
Mailing Address - Fax:
Practice Address - Street 1:7220 N LINDBERGH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2019
Practice Address - Country:US
Practice Address - Phone:314-249-6100
Practice Address - Fax:314-227-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty