Provider Demographics
NPI:1982346706
Name:WELL AND HEALTH NUTRITION SERVICES LLC
Entity Type:Organization
Organization Name:WELL AND HEALTH NUTRITION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:J
Authorized Official - Last Name:YORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:201-575-1691
Mailing Address - Street 1:25 POMPTON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2938
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-844-4791
Practice Address - Street 1:25 POMPTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2938
Practice Address - Country:US
Practice Address - Phone:201-575-1691
Practice Address - Fax:877-844-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center