Healthcare Provider Details

I. General information

NPI: 1326724071
Provider Name (Legal Business Name): FEED WELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9175 GUILFORD RD STE 305
COLUMBIA MD
21046-2529
US

IV. Provider business mailing address

9175 GUILFORD RD STE 305
COLUMBIA MD
21046-2529
US

V. Phone/Fax

Practice location:
  • Phone: 202-883-8462
  • Fax:
Mailing address:
  • Phone: 202-883-8462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY HUNT
Title or Position: OWNER
Credential: IBCLC
Phone: 231-620-2108