| NPI | 1972873560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M ALEXANDER Owner 571-572-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332U00000X Home Delivered Meals |
| Additional Taxonomies | 335G00000X Medical Foods Supplier |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347C00000X Private Vehicle (Licence: PA 21232229) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |