Healthcare Provider Details

I. General information

NPI: 1063323970
Provider Name (Legal Business Name): NOURISHED HORIZON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 HOLLISTER DR
KENT OH
44240-2067
US

IV. Provider business mailing address

1062 HOLLISTER DR
KENT OH
44240-2067
US

V. Phone/Fax

Practice location:
  • Phone: 330-552-7151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH KORZAN
Title or Position: OWNER
Credential: PHD, RDN
Phone: 330-552-7151