Healthcare Provider Details

I. General information

NPI: 1073256830
Provider Name (Legal Business Name): NO PLACE LIKE HOME NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 08/04/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MEADE CIR
MANHATTAN KS
66502-2205
US

IV. Provider business mailing address

2500 MEADE CIR
MANHATTAN KS
66502-2205
US

V. Phone/Fax

Practice location:
  • Phone: 575-740-7494
  • Fax:
Mailing address:
  • Phone: 575-740-7494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA M SUMMERLIN
Title or Position: OWNER
Credential: RDN
Phone: 575-740-7494