Provider Demographics
NPI:1720627045
Name:NUTRITION JUST FOR YOU LLC
Entity type:Organization
Organization Name:NUTRITION JUST FOR YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN,LD
Authorized Official - Phone:330-844-8743
Mailing Address - Street 1:6578 CLIFFSIDE AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-9589
Mailing Address - Country:US
Mailing Address - Phone:330-844-8743
Mailing Address - Fax:
Practice Address - Street 1:6578 CLIFFSIDE AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-9589
Practice Address - Country:US
Practice Address - Phone:330-844-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center