| Good Nutrition Collaborative | |
|
99 Main St, Pascoag, RI 02859-3184 | |
| (401) 286-8998 | |
| Not Available |
| Full Name | Good Nutrition Collaborative |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 99 Main St, Pascoag, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124993555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Good Nutrition Collaborative 1640 Jackson Schoolhouse Rd, Pascoag, RI 02859-2201 Ph: (401) 286-8998 | Good Nutrition Collaborative 99 Main St, Pascoag, RI 02859-3184 Ph: (401) 286-8998 |
Mrs. Susan Elizabeth Boyd, MS,RD,LDN,CDOE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 759 Steere Farm Rd, Pascoag, RI 02859 Phone: 401-568-8434 Fax: 401-568-3059 |
Allison Acquisto, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1640 Jackson Schoolhouse Rd, Pascoag, RI 02859 Phone: 401-286-8998 Fax: 800-836-8983 |