Organization Name: | THREE RIVERS HEALTH NUTRITIONAL SERVICES |
NPI Number: | 1205165115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM RUSSELL (CEO/PRESIDENT) |
Mailing Address: | 701 S Health Pkwy Three Rivers |
State: | MI US |
Postal Code: | 490938352 |
Phone Number: | 2692781145 |
Fax Number: | 2692739611 |
NPI Enumeration Date: | 12/24/2009 |
NPI Last Update Date: | 12/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 750020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |