| Nourish To Revive, Llc | |
|
905 W State St Ste B, Fremont, OH 43420-2501 | |
| (419) 603-7788 | |
| Not Available |
| Full Name | Nourish To Revive, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 905 W State St Ste B, Fremont, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427559988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD7029 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish To Revive, Llc 905 W State St Ste B, Fremont, OH 43420-2501 Ph: (419) 603-7788 | Nourish To Revive, Llc 905 W State St Ste B, Fremont, OH 43420-2501 Ph: (419) 603-7788 |
Memorial Hosptial Dietitian Medicare: Not Enrolled in Medicare Practice Location: 715 South Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 Fax: 419-333-2726 | |
Joyce A Klein, MFN, RDN, CLT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 W State St Ste B, Fremont, OH 43420 Phone: 419-603-7788 |