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Organization

QUEEN CITY ENTERPRISES

Active
Parent organization
QUEEN CITY ENTERPRISES
Other names
Religion Of Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUEEN CITY ENTERPRISES
Authorized official
ASET AUGUST CERTIFIED (HOLISTIC NUTRITIONIST COUNSELOR)
(951) 553-3051
Entity
Organization

Contact information

Practice address
823 BROAD ST, AUGUSTA, GA 30901-1214
(951) 553-3051
Mailing address
6163 VERMILION LOOP, GRANITEVILLE, SC 29829-3261
(951) 553-3051

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
Primary
171400000X
Health & Wellness Coach
174200000X
Meals Provider
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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