Organization Name: | LIFEQUALITY, INC. |
NPI Number: | 1164849832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE MISSY PORTEOUS (OWNER, PRESIDENT, CEO) |
Mailing Address: | 11801 Pierce St Suite 200 Riverside |
State: | CA US |
Postal Code: | 925054408 |
Phone Number: | 9513177657 |
Fax Number: | 9512788665 |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 814382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |