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NPI Code Detail

MEDICARE: HEALTH AND NUTRITION LLC

MEDICARE: HEALTH AND NUTRITION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1457206534
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH AND NUTRITION LLC
Provider Business Mailing Address
First Line : 2891 E MAPLE RD STE 200
Second Line :
City : TROY
State : MI
Zip : 48083-6106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9740 CONANT ST
Second Line :
City : HAMTRAMCK
State : MI
Zip : 48212-3307
Country : US
Telephone Number : 248-726-0127
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK WOLODKOWICZ
Credential :
Telephone Number : 248-726-0127
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “HEALTH AND NUTRITION LLC ” Practice Location

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