Provider Demographics
NPI:1982262481
Name:NUTRITION 4 FAMILY, LLC
Entity Type:Organization
Organization Name:NUTRITION 4 FAMILY, LLC
Other - Org Name:NUTRITION 4 FAMILY, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOOK
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:866-686-6405
Mailing Address - Street 1:842 DURHAM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9680
Mailing Address - Country:US
Mailing Address - Phone:866-686-6405
Mailing Address - Fax:
Practice Address - Street 1:842 DURHAM RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9680
Practice Address - Country:US
Practice Address - Phone:866-686-6405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090612OtherEATING DISORDERS
1982262481OtherHIGHMARK