| Nutrition Care Llc | |
|
306 Cr 521 Saltillo MS 38866 | |
| (662) 869-3700 | |
| Not Available |
| Full Name | Nutrition Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 Cr 521, Saltillo, Mississippi |
| Authorized Official Name and Position | Cindy Smith (OWNER) |
| Authorized Official Contact | 6628693700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Care Llc Po Box 79 Saltillo MS 38866-0079 Ph: (662) 869-3700 | Nutrition Care Llc 306 Cr 521 Saltillo MS 38866 Ph: (662) 869-3700 |
| NPI Number | 1891034435 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 11/07/2016 |
| Medicare PECOS PAC ID | 6507055514 |
|---|---|
| Medicare Enrollment ID | O20110106000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891034435 | NPI | - | NPPES |
| 3021712646 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D0510 (Mississippi) | Primary |
| Provider Name | Cynthia H Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972816510 PECOS PAC ID: 7315136322 Enrollment ID: I20110106000637 |
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