Provider Demographics
NPI:1497194187
Name:FOREVER LIVING DELICIOUSLY LLC
Entity Type:Organization
Organization Name:FOREVER LIVING DELICIOUSLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/NUTRITON COACH
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMIJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-913-4573
Mailing Address - Street 1:1072 MOUNTAIN OAK PL
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3569
Mailing Address - Country:US
Mailing Address - Phone:303-913-4573
Mailing Address - Fax:
Practice Address - Street 1:1072 MOUNTAIN OAK PL
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3569
Practice Address - Country:US
Practice Address - Phone:303-913-4573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty