Organization
HOMETOWN NOURISHED L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DI FABIO-BALDOCCHI RD (OWNER)
(848) 350-1818
Entity
Organization
Contact information
Practice address
167 MAIN ST STE 2B, METUCHEN, NJ 08840-2771
(848) 350-1818
Mailing address
167 MAIN ST STE 2B, METUCHEN, NJ 08840-2771
(848) 350-1818
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/06/2025
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