Provider Demographics
NPI:1083883052
Name:VIVRE EN SANTE, INC.
Entity Type:Organization
Organization Name:VIVRE EN SANTE, INC.
Other - Org Name:HEALTHY LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:888-945-6887
Mailing Address - Street 1:3608 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1736
Mailing Address - Country:US
Mailing Address - Phone:888-945-6887
Mailing Address - Fax:888-945-6887
Practice Address - Street 1:3608 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1736
Practice Address - Country:US
Practice Address - Phone:888-945-6887
Practice Address - Fax:888-945-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty