Provider Demographics
NPI:1508680307
Name:FAMILY NUTRITION AND STRENGTH LLC
Entity type:Organization
Organization Name:FAMILY NUTRITION AND STRENGTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:360-865-7860
Mailing Address - Street 1:PO BOX 1582
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-1582
Mailing Address - Country:US
Mailing Address - Phone:360-865-7860
Mailing Address - Fax:707-707-3853
Practice Address - Street 1:3003 32ND AVE S STE 240
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6118
Practice Address - Country:US
Practice Address - Phone:360-865-7860
Practice Address - Fax:701-707-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty