Healthcare Provider Details

I. General information

NPI: 1205012317
Provider Name (Legal Business Name): A HEALTHIER WAY, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 HOMELAND AVE
BALTIMORE MD
21212-3434
US

IV. Provider business mailing address

124 HOMELAND AVE
BALTIMORE MD
21212-3434
US

V. Phone/Fax

Practice location:
  • Phone: 410-323-0356
  • Fax:
Mailing address:
  • Phone: 410-323-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MS. JAMIE M SHERMAN
Title or Position: OWNER
Credential: R.D., L.D.
Phone: 410-323-0356