Provider Demographics
NPI:1770959058
Name:ROCK SPRING HEALTH, LLC
Entity type:Organization
Organization Name:ROCK SPRING HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX-RABINOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RDN, LDN, CDE
Authorized Official - Phone:240-888-0879
Mailing Address - Street 1:5225 POOKS HILL RD APT 517N
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6745
Mailing Address - Country:US
Mailing Address - Phone:240-888-0879
Mailing Address - Fax:
Practice Address - Street 1:5225 POOKS HILL RD APT 517N
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6745
Practice Address - Country:US
Practice Address - Phone:240-888-0879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty