Provider Demographics
NPI:1689429862
Name:HEALTH FOR LIFE LLC
Entity type:Organization
Organization Name:HEALTH FOR LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN, CDCES
Authorized Official - Phone:610-574-7940
Mailing Address - Street 1:409 WOODWARD RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4226
Mailing Address - Country:US
Mailing Address - Phone:610-574-7940
Mailing Address - Fax:610-273-5906
Practice Address - Street 1:409 WOODWARD RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4226
Practice Address - Country:US
Practice Address - Phone:610-574-7940
Practice Address - Fax:610-273-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty