Provider Demographics
NPI:1508308263
Name:NUTRITION EDUCATION RESOURCES, INC.
Entity Type:Organization
Organization Name:NUTRITION EDUCATION RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DANTONE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDE
Authorized Official - Phone:985-651-2342
Mailing Address - Street 1:112 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-7100
Mailing Address - Country:US
Mailing Address - Phone:985-651-2342
Mailing Address - Fax:888-573-1919
Practice Address - Street 1:112 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-7100
Practice Address - Country:US
Practice Address - Phone:985-651-2342
Practice Address - Fax:888-573-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-12
Last Update Date:2016-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1654261QM2500X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty