Provider Demographics
NPI:1790306108
Name:WORLD ONE ASSIST FOUNDATION, INC.
Entity Type:Organization
Organization Name:WORLD ONE ASSIST FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSLYN
Authorized Official - Middle Name:GWENDOLYN
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:609-491-2095
Mailing Address - Street 1:2208 HUNTER ST
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-1945
Mailing Address - Country:US
Mailing Address - Phone:619-491-2095
Mailing Address - Fax:
Practice Address - Street 1:2208 HUNTER ST
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-1945
Practice Address - Country:US
Practice Address - Phone:609-491-2095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty