| Nourish Rd Llc | |
|
752 Middletown Rd Unit A, Colchester, CT 06415-2307 | |
| (585) 490-0184 | |
| Not Available |
| Full Name | Nourish Rd Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 752 Middletown Rd Unit A, Colchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013621291 | NPI | - | NPPES |
| 86154486 | Other | CT | CDR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Aurora J Coleman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114687555 PECOS PAC ID: 0547621385 Enrollment ID: I20230726003662 |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish Rd Llc 752 Middletown Rd Unit A, Colchester, CT 06415-2307 Ph: () - | Nourish Rd Llc 752 Middletown Rd Unit A, Colchester, CT 06415-2307 Ph: (585) 490-0184 |
Jd Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 214 Lake Hayward Rd, Colchester, CT 06415 Phone: 860-705-4669 | |
Cheyanne King, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 136 Thornridge Dr, Colchester, CT 06415 Phone: 860-884-4292 | |
Jacqueline M Durand, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 214 Lake Hayward Rd, Colchester, CT 06415 Phone: 860-705-4669 | |
Cassandra Ann Vigue, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12 Balaban Rd Apt 303, Colchester, CT 06415 Phone: 860-634-4641 | |
Mrs. Linda Sue Caley, M.S.,R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 120 Carli Blvd, Colchester, CT 06415 Phone: 860-537-5486 |