Organization
GOLDEN HEARTS LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINOSHA SPENCER (OWNER)
(216) 355-0007
Entity
Organization
Contact information
Practice address
16304 MENDOTA AVE, MAPLE HEIGHTS, OH 44137-4818
(216) 355-0007
Mailing address
16304 MENDOTA AVE, MAPLE HEIGHTS, OH 44137-4818
(216) 355-0007
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174400000X
Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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