Provider Demographics
NPI:1710129432
Name:NUTRITION SERVICES, LLC
Entity Type:Organization
Organization Name:NUTRITION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RD LD
Authorized Official - Phone:240-460-8056
Mailing Address - Street 1:10205 BALTIMORE AVE
Mailing Address - Street 2:#7105
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4218
Mailing Address - Country:US
Mailing Address - Phone:240-460-8056
Mailing Address - Fax:
Practice Address - Street 1:6401 IVY LN
Practice Address - Street 2:SUITE 700
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1442
Practice Address - Country:US
Practice Address - Phone:240-460-8056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO1916251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health