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Organization
LIFEFUL AGING, LLC
Active
Organization
LIFEFUL AGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY HARBOLIC MS, RDN (FOUNDER)
(917) 449-2990
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD STE A101, PALM BEACH GARDENS, FL 33410-3479
(480) 813-9989
Mailing address
11211 PROSPERITY FARMS RD STE A101, PALM BEACH GARDENS, FL 33410-3479
(480) 813-9989
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
08/16/2024
Last updated
08/21/2024
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