# NUTRITION ENTERPIRSES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558698613
- **Authorized official:** GAIL KING RD (CEO)
- **Authorized official phone:** (734) 444-6720

## Contact information

- **Practice address:** 400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
- **Practice address phone:** (734) 444-6720
- **Mailing address:** 13183 BACKUS ST, SOUTHGATE, MI 48195-1147
- **Mailing address phone:** (734) 444-6720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | 800034 | MI | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | Yes |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | NULL | — |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 11/11/2009
- **Last updated:** 06/22/2020