NPI | 1740031988 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID CANGI CEO 484-401-2551 |
Organization Subpart ? | No |
Primary Taxonomy | 174200000X Meals |
Additional Taxonomies | 133V00000X Dietitian, Registered |
335G00000X Medical Foods Supplier | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-03-27 |