Provider Demographics
NPI:1710233648
Name:NUTRITION HEALING, LLC
Entity Type:Organization
Organization Name:NUTRITION HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:LOVASCO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:313-378-1477
Mailing Address - Street 1:47 DEPETRIS WAY
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236
Mailing Address - Country:US
Mailing Address - Phone:313-881-9267
Mailing Address - Fax:
Practice Address - Street 1:34301 23 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW BALTIMORE
Practice Address - State:MI
Practice Address - Zip Code:48047
Practice Address - Country:US
Practice Address - Phone:586-725-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty