Provider Demographics
NPI:1215322987
Name:DAY TO DAY NUTRITION, LLC,
Entity type:Organization
Organization Name:DAY TO DAY NUTRITION, LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:H
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:228-216-2500
Mailing Address - Street 1:1911 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3925
Mailing Address - Country:US
Mailing Address - Phone:228-216-2500
Mailing Address - Fax:
Practice Address - Street 1:1911 STUART AVE
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3925
Practice Address - Country:US
Practice Address - Phone:228-216-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service