Provider Demographics
NPI:1982972659
Name:NUTRITIOUS & DELICIOUS, LLC
Entity Type:Organization
Organization Name:NUTRITIOUS & DELICIOUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CUCINOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:508-479-0017
Mailing Address - Street 1:32 NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1941
Mailing Address - Country:US
Mailing Address - Phone:508-479-0017
Mailing Address - Fax:508-238-1005
Practice Address - Street 1:32 NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1941
Practice Address - Country:US
Practice Address - Phone:508-479-0017
Practice Address - Fax:508-238-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2845133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty