Provider Demographics
NPI:1427848829
Name:WELL FED LIFE
Entity type:Organization
Organization Name:WELL FED LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:845-235-2201
Mailing Address - Street 1:213 STOREMONT WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-6534
Mailing Address - Country:US
Mailing Address - Phone:845-235-2201
Mailing Address - Fax:
Practice Address - Street 1:213 STOREMONT WAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-6534
Practice Address - Country:US
Practice Address - Phone:845-235-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty