| NPI | 1669226049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE IGOE Director 760-297-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335G00000X Medical Foods Supplier |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |