Provider Demographics
NPI:1568923274
Name:SARAHRICENUTRITION, LLC
Entity Type:Organization
Organization Name:SARAHRICENUTRITION, LLC
Other - Org Name:SARAHRICENUTRITION, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, RD, LD
Authorized Official - Phone:703-473-3320
Mailing Address - Street 1:20 DOGWOOD HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9106
Mailing Address - Country:US
Mailing Address - Phone:703-473-3320
Mailing Address - Fax:
Practice Address - Street 1:20 DOGWOOD HILL LN
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9106
Practice Address - Country:US
Practice Address - Phone:703-473-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1174066260OtherTYPE I NPI