NPI | 1750748166 |
---|---|
Entity Type | Organization |
Authorized Contact | PASHUN DOBSON Owner 786-426-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 332U00000X Home Delivered Meals (Licence: FL SEA1617838) |
Additional Taxonomies | 335G00000X Medical Foods Supplier (Licence: FL SEA1617838) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-01-15 |