Provider Demographics
NPI:1700103652
Name:SAVORY NUTRITION SERVICES, LLC
Entity Type:Organization
Organization Name:SAVORY NUTRITION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALILI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:970-759-2142
Mailing Address - Street 1:1424 COUNTY ROAD 223
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7287
Mailing Address - Country:US
Mailing Address - Phone:970-759-2142
Mailing Address - Fax:970-375-1609
Practice Address - Street 1:2700 MAIN AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5938
Practice Address - Country:US
Practice Address - Phone:970-759-2142
Practice Address - Fax:970-375-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty