EAT WELL FOR LIFE LLC NPI 1568850337

NPI Information

NPI: 1568850337
Provider Name: EAT WELL FOR LIFE, LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
35 RAGGED EDGE RD
CHAMBERSBURG, PA
ZIP 17202
Phone: (717) 372-6687
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EAT WELL FOR LIFE, LLC is a community health clinic center in Chambersburg, PA. EAT WELL FOR LIFE, LLC NPI is 1568850337. The provider is registered as an organization entity type.

The provider's business location address is:

35 RAGGED EDGE RD
CHAMBERSBURG, PA
ZIP 17202-450
Phone: (717) 372-6687
Fax: (717) 446-0033

The provider's authorized official is Heidi Lucas .
The authorized official title is Owner/registered Dietitian and has the following contact phone number (717) 372-6687.

The enumeration date for this NPI number is 1/2/2015 and was last updated on 1/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			No
2	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T1434218103	OTHER	PENNSYLVANIA	CERTIFICATE OF ORGANIZATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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