# BRIGHT SKY NUTRITION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunshine Weight Loss Club, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124477104
- **Authorized official:** LADONNA MARIE WEBB RD, LD, CDE (OWNER/DIETITIAN)
- **Authorized official phone:** (417) 343-8222

## Contact information

- **Practice address:** 3543 S LONE PINE AVE, SPRINGFIELD, MO 65804-4854
- **Practice address phone:** (417) 343-8222
- **Practice address fax:** (866) 542-3416
- **Mailing address:** 3243 W KATELLA CT, SPRINGFIELD, MO 65807-8713
- **Mailing address phone:** (417) 343-8222
- **Mailing address fax:** (866) 542-3416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2004029834 | MO | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 07/06/2016