Provider Demographics
NPI:1184264731
Name:STEFANSKI NUTRITION SERVICES
Entity type:Organization
Organization Name:STEFANSKI NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-683-3777
Mailing Address - Street 1:1354 SOUTHERN RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3048
Mailing Address - Country:US
Mailing Address - Phone:717-683-3777
Mailing Address - Fax:
Practice Address - Street 1:1354 SOUTHERN RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3048
Practice Address - Country:US
Practice Address - Phone:717-683-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty