| NPI | 1225978737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332U00000X Home Delivered Meals |
| Additional Taxonomies | 174200000X Meals |
| 104100000X Social Worker | |
| 251K00000X Public Health or Welfare | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |