Real Nutrition

LBN: Birch Bungalow, Llc
Real Nutrition is an health care organization with primary practice located at 25212 County Highway 124 , Fergus Falls MN 56537-8266. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Birch Bungalow, Llc can be contacted via phone (218) 770-9788, or through Mouser, Katrina Lea via phone (218) 770-9788.

Contact Information

Primary practice address
25212 County Highway 124 Fergus Falls MN 56537-8266
Phone: (218) 770-9788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mouser, Katrina Lea RD, LD
Phone: (218) 770-9788

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 2913 Minnesota

Profile Details

NPI number 1932631405
LBN Legal business name Birch Bungalow, Llc
DBA Doing business as Real Nutrition
Authorized official Mouser, Katrina Lea RD, LD
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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