| Eat Well For Life, Llc | |
|
35 Ragged Edge Rd Chambersburg PA 17202-4450 | |
| (717) 372-6687 | |
| (717) 446-0033 |
| Full Name | Eat Well For Life, Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 35 Ragged Edge Rd, Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Heidi Lucas (OWNER/REGISTERED DIETITIAN) |
| Authorized Official Contact | 7173726687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eat Well For Life, Llc 138 Roland Ave Chambersburg PA 17201-1444 Ph: (717) 372-6687 | Eat Well For Life, Llc 35 Ragged Edge Rd Chambersburg PA 17202-4450 Ph: (717) 372-6687 |
| NPI Number | 1568850337 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568850337 | NPI | - | NPPES |
| T1434218103 | Other | PA | CERTIFICATE OF ORGANIZATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Secondary |
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