Provider Demographics
NPI:1447734926
Name:SOUTH HILLS NUTRITION LLC
Entity Type:Organization
Organization Name:SOUTH HILLS NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLICK
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:412-720-3343
Mailing Address - Street 1:120 RIDGWAY CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1730
Mailing Address - Country:US
Mailing Address - Phone:412-720-3343
Mailing Address - Fax:
Practice Address - Street 1:300 MOUNT LEBANON BLVD STE 209C
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1507
Practice Address - Country:US
Practice Address - Phone:412-720-3343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty