Provider Demographics
NPI:1467768432
Name:NUTRITION IN YOUR HANDS LLC
Entity Type:Organization
Organization Name:NUTRITION IN YOUR HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:678-588-4122
Mailing Address - Street 1:219 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-2604
Mailing Address - Country:US
Mailing Address - Phone:678-588-4122
Mailing Address - Fax:678-306-4632
Practice Address - Street 1:219 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-2604
Practice Address - Country:US
Practice Address - Phone:678-588-4122
Practice Address - Fax:678-306-4632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty