Koran Watson Haven of Health LLC
Koran Watson Haven of Health LLC provides Registered Dietitian services in Philadelphia, Pennsylvania. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21 S 11th StPhiladelphia, PA 19107-4223
Phone: (267) 209-3245
Fax: (267) 907-8591
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|
Record details
| NPI number | 1104401322 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Koran Watson — Owner/ Ceo · (267) 209-3245 |
| NPI enumerated | March 10, 2021 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | 21 S 11th St, Philadelphia, PA 19107-4223 |
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