Provider Demographics
NPI:1497445654
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 1:230 SPECTRUM AVE # E236
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3473
Mailing Address - Country:US
Mailing Address - Phone:202-945-8082
Mailing Address - Fax:
Practice Address - Street 1:800 MAINE AVE SW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2811
Practice Address - Country:US
Practice Address - Phone:202-945-8082
Practice Address - Fax:202-660-1460
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A HEALTHY CARE ZONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251E00000XAgenciesHome Health