Provider Demographics
NPI:1558978973
Name:FOOD FOR HART, LLC
Entity Type:Organization
Organization Name:FOOD FOR HART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CD
Authorized Official - Phone:801-390-1412
Mailing Address - Street 1:886 S WARM SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-3728
Mailing Address - Country:US
Mailing Address - Phone:801-390-1412
Mailing Address - Fax:
Practice Address - Street 1:886 S WARM SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-3728
Practice Address - Country:US
Practice Address - Phone:801-390-1412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty