Provider Demographics
NPI:1801668876
Name:NUTRITION FOR HEALING. LLC
Entity type:Organization
Organization Name:NUTRITION FOR HEALING. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVADOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN, CDCES
Authorized Official - Phone:617-291-3824
Mailing Address - Street 1:P.O. BOX 334
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-0002
Mailing Address - Country:US
Mailing Address - Phone:617-291-3824
Mailing Address - Fax:
Practice Address - Street 1:501 JOHN MAHAR HWY, SUITE #300
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:617-291-3824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty