Provider Demographics
NPI:1821650953
Name:NURSEFITBODY, LLC
Entity Type:Organization
Organization Name:NURSEFITBODY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:SNOW
Authorized Official - Last Name:HAYWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:440-574-1417
Mailing Address - Street 1:150 NASHUA RD STE C
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3642
Mailing Address - Country:US
Mailing Address - Phone:440-574-1417
Mailing Address - Fax:
Practice Address - Street 1:150 NASHUA RD STE C
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3642
Practice Address - Country:US
Practice Address - Phone:440-574-1417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care