| NPI | 1265803076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYLA KAVUSI DAVIJANI President 949-606-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332U00000X Home Delivered Meals (Licence: CA 932113) |
| Additional Taxonomies | 335G00000X Medical Foods Supplier (Licence: CA 932113) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-20 |