Provider Demographics
NPI:1336752781
Name:NO JUNK FOOD ZONE LLC
Entity Type:Organization
Organization Name:NO JUNK FOOD ZONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-660-1460
Mailing Address - Street 1:800 MAINE AVE SW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2811
Mailing Address - Country:US
Mailing Address - Phone:202-660-1460
Mailing Address - Fax:
Practice Address - Street 1:37 NW 47TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-2411
Practice Address - Country:US
Practice Address - Phone:786-285-6895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NO JUNK FOOD ZONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-26
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health