Provider Demographics
NPI:1912527037
Name:LOVE CITY NUTRITION LLC
Entity Type:Organization
Organization Name:LOVE CITY NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DICKENS
Authorized Official - Last Name:MENKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LDN
Authorized Official - Phone:610-637-2206
Mailing Address - Street 1:225 WILMINGTON WEST CHESTER PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9011
Mailing Address - Country:US
Mailing Address - Phone:610-637-2206
Mailing Address - Fax:610-227-6109
Practice Address - Street 1:225 WILMINGTON WEST CHESTER PIKE
Practice Address - Street 2:SUITE 200- #300
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9011
Practice Address - Country:US
Practice Address - Phone:610-637-2206
Practice Address - Fax:610-227-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-18
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty