| NPI | 1528904174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SUSANTYO Clo 929-487-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332U00000X Home Delivered Meals |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 335G00000X Medical Foods Supplier | |
| 174200000X Meals | |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-06-09 |