Provider Demographics
NPI:1023271939
Name:CASH HARRISON ENTERPRISES LLC
Entity type:Organization
Organization Name:CASH HARRISON ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLANCY
Authorized Official - Middle Name:CASH
Authorized Official - Last Name:HARRION
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:570-881-0683
Mailing Address - Street 1:27 RICE CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1424
Mailing Address - Country:US
Mailing Address - Phone:570-881-0683
Mailing Address - Fax:
Practice Address - Street 1:40 W NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-1700
Practice Address - Country:US
Practice Address - Phone:570-823-2191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003796133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty