| 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 |