Healthcare Provider Details
I. General information
NPI: 1598852709
Provider Name (Legal Business Name): RITE BITE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2006
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
171 GREEN MEADOWS DR S
LEWIS CENTER OH
43035-9458
US
IV. Provider business mailing address
171 GREEN MEADOWS DR S
LEWIS CENTER OH
43035-9458
US
V. Phone/Fax
- Phone: 614-985-6567
- Fax: 614-985-6568
- Phone: 614-985-6567
- Fax: 614-985-6568
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1800X |
| Taxonomy | Corporate Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAY
LAKHI
Title or Position: OWNER
Credential:
Phone: 614-985-6567