Healthcare Provider Details

I. General information

NPI: 1699074450
Provider Name (Legal Business Name): HEALTHY HEART PLUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2011
Last Update Date: 04/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 TWINRIDGE LN SUITE 6
RICHMOND VA
23235-5200
US

IV. Provider business mailing address

705 TWINRIDGE LN SUITE 6
RICHMOND VA
23235-5200
US

V. Phone/Fax

Practice location:
  • Phone: 804-320-1220
  • Fax: 804-320-1520
Mailing address:
  • Phone: 804-320-1220
  • Fax: 804-320-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ALICE M FREEMAN
Title or Position: OWNER
Credential:
Phone: 804-320-1220