Provider Demographics
NPI:1053078360
Name:SURELY HEALTH, INC.
Entity Type:Organization
Organization Name:SURELY HEALTH, INC.
Other - Org Name:SEASON HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CLINICAL NUTRITION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAGER
Authorized Official - Suffix:
Authorized Official - Credentials:RD-AP
Authorized Official - Phone:814-322-5667
Mailing Address - Street 1:1126 SALINA ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2730
Mailing Address - Country:US
Mailing Address - Phone:724-307-5926
Mailing Address - Fax:
Practice Address - Street 1:1126 SALINA ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2730
Practice Address - Country:US
Practice Address - Phone:724-307-5926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty