| Organization Name: | GREATLIFE WELLNESS CENTER |
| NPI Number: | 1215093976 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER B MELE (DIETITIAN) |
| Mailing Address: | 3115 Route 38 Mount Laurel |
| State: | NJ US |
| Postal Code: | 080549752 |
| Phone Number: | 8562346072 |
| Fax Number: | 8562346142 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 00727429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |