Provider Demographics
NPI:1114476223
Name:THE JOY OF NUTRITION
Entity Type:Organization
Organization Name:THE JOY OF NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUDARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,RD,LDN
Authorized Official - Phone:484-410-6201
Mailing Address - Street 1:762 DARBY CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-1807
Mailing Address - Country:US
Mailing Address - Phone:484-410-6201
Mailing Address - Fax:
Practice Address - Street 1:762 DARBY CRESCENT RD
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:PA
Practice Address - Zip Code:19076-1807
Practice Address - Country:US
Practice Address - Phone:484-410-6201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004792133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty