Provider Demographics
NPI:1073256830
Name:NO PLACE LIKE HOME NUTRITION
Entity Type:Organization
Organization Name:NO PLACE LIKE HOME NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUMMERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:575-740-7494
Mailing Address - Street 1:2500 MEADE CIR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2205
Mailing Address - Country:US
Mailing Address - Phone:575-740-7494
Mailing Address - Fax:
Practice Address - Street 1:2500 MEADE CIR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2205
Practice Address - Country:US
Practice Address - Phone:575-740-7494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health