Provider Demographics
NPI:1760827984
Name:RMR WEIGHT MANAGEMENT
Entity Type:Organization
Organization Name:RMR WEIGHT MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:AWAD
Authorized Official - Last Name:SAMARAH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, ALCS,BS
Authorized Official - Phone:810-444-2749
Mailing Address - Street 1:10242 SHARP RD
Mailing Address - Street 2:
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-9156
Mailing Address - Country:US
Mailing Address - Phone:810-444-2749
Mailing Address - Fax:
Practice Address - Street 1:4058 W WILSON RD
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-9481
Practice Address - Country:US
Practice Address - Phone:810-444-2749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Multi-Specialty