| NPI | 1073165874 |
|---|---|
| Other Name | EAGLE NUTRITION SERVICES |
| Entity Type | Organization |
| Authorized Contact | DARLENE BELLERS Manager 734-487-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |