Provider Demographics
NPI:1659730026
Name:NATURAL LIVING, LLC
Entity Type:Organization
Organization Name:NATURAL LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED CLINICAL NUTRITIONIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:ND, MS, CNS
Authorized Official - Phone:203-980-3889
Mailing Address - Street 1:150 NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4827
Practice Address - Country:US
Practice Address - Phone:203-980-3889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty