ENVISION NUTRITION INC.
Dietitian and Nutritionist at Highway 74, Tyrone, GA

License number
Georgia LD00262
Category
Dietitian and Nutritionist
Type
Dietitian, Registered
Owner
Name: MRS. DONNA P DECAILLE RD
Title: EXECUTIVE DIRECTOR
Phone: (404) 797-0528
Address
Address
1922 Highway 74 N SUITE D, Tyrone, GA 30290
National Provider ID: 1093036253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENVISION NUTRITION INC

Fayetteville, GA  -  Tyrone, GA

Industry:
Health/Allied Services, Ret Misc Foods
Registration:
Dec 3, 2009
Addresses:
530 Lullaby Ct, Fayetteville, GA 30214 (Physical)
1922 Hwy 74 N, Tyrone, GA 30290
State ID:
09083105
Business type:
Domestic Nonprofit Corporation
Secretarys:
Barry Beard (CFO), 124 Hager Dr, Riverdale, GA 30274 (Physical),Donna Decaille (CEO, Executive Director, Principal, Rd, Registered Dietician), 530 Lullaby Ct, Fayetteville, GA 30214 (Physical),Leonie Harris (Secretary), 230 Carriage Sta Cir, Roswell, GA 30075 (Physical)
Agent:
Donna Pearline Decaille,530 Lullaby Ct Fayetteville Ga, Fayetteville, GA 30214 (Physical)

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