Provider Demographics
NPI:1962391995
Name:HEALTHY LIVING AT PMSI
Entity type:Organization
Organization Name:HEALTHY LIVING AT PMSI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:CLARE
Authorized Official - Last Name:SLIFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-327-4200
Mailing Address - Street 1:1566 MEDICAL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3229
Mailing Address - Country:US
Mailing Address - Phone:484-224-9655
Mailing Address - Fax:610-327-8160
Practice Address - Street 1:1566 MEDICAL DR STE 201
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3229
Practice Address - Country:US
Practice Address - Phone:484-224-9655
Practice Address - Fax:610-327-8160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTTSTOWN MEDICAL SPECIALISTS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty