Provider Demographics
NPI:1003421884
Name:NUTRITION 4 ALL, LLC
Entity Type:Organization
Organization Name:NUTRITION 4 ALL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:717-798-5091
Mailing Address - Street 1:626 LISSARA LODGE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-9834
Mailing Address - Country:US
Mailing Address - Phone:717-798-5091
Mailing Address - Fax:336-860-1655
Practice Address - Street 1:626 LISSARA LODGE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27023-9834
Practice Address - Country:US
Practice Address - Phone:717-798-5091
Practice Address - Fax:336-860-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty