Organization Name: | COMMUNITY DIABETES AND NUTRITION SERVICES, LLC |
NPI Number: | 1609253301 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSEMARY TAKACS (MEMBER AND PROGRAM COORDINATOR) |
Mailing Address: | 200 Main St Suite L4 Blakely |
State: | PA US |
Postal Code: | 184471241 |
Phone Number: | 5706046677 |
Fax Number: | 5703074220 |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN000285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |