Provider Demographics
NPI:1003661000
Name:HOPE NUTRITION HEALTH SERVICES LLC
Entity type:Organization
Organization Name:HOPE NUTRITION HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SZARKO
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:941-524-0076
Mailing Address - Street 1:20 PUBLIX DR STE 104-103
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9362
Mailing Address - Country:US
Mailing Address - Phone:352-559-5332
Mailing Address - Fax:
Practice Address - Street 1:200 WILLOWBROOK CIR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-9730
Practice Address - Country:US
Practice Address - Phone:352-559-5332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty