Wholemade Nutrition
Community/Behavioral Health in Saint Louis, MO. Organization (NPI-2).
NPI number1164039681
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1164039681
- Entity type
- Organization (NPI-2)
- Legal business name
- Wholemade Nutrition
- Organization subpart
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2703 Virginia AveSaint Louis, MO 63118-1236
Phone 573-864-2652
Mailing address
2703 Virginia AveSaint Louis, MO 63118-1236
Authorized official
Maggie Algya
Registered Dietitian
3148642652
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