| Sacred Table Llc | |
|
2512 Frostwood Dr, Youngstown, OH 44515-5144 | |
| (330) 402-7147 | |
| Not Available |
| Full Name | Sacred Table Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2512 Frostwood Dr, Youngstown, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306717319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Table Llc 2512 Frostwood Dr, Youngstown, OH 44515-5144 Ph: (330) 402-7147 | Sacred Table Llc 2512 Frostwood Dr, Youngstown, OH 44515-5144 Ph: (330) 402-7147 |
Donald Huff, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 |
Mr. Matthew Francis Good, R.D, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1216 5th Ave, Youngstown, OH 44504 Phone: 330-746-2944 Fax: 330-746-3427 |
Mary Liz Smith, RDN/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 675 Angiline Dr, Youngstown, OH 44512 Phone: 330-881-8257 |
Mrs. Kelly L Scott, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 819 Southwestern Run, Youngstown, OH 44514 Phone: 330-629-9991 |
Justine Handel, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 514 Green Garden Dr, Youngstown, OH 44512 Phone: 330-550-8736 |
Jarrod Boyle, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 947 Compass West Dr, Youngstown, OH 44515 Phone: 330-720-4912 |
Rd Jrod Nutrition Counseling Llc Dietitian Medicare: Medicare Enrolled Practice Location: 947 Compass West Dr, Youngstown, OH 44515 Phone: 330-720-4912 Fax: 330-595-4727 |