Healthcare Provider Details

I. General information

NPI: 1619892460
Provider Name (Legal Business Name): THE MEAL LADIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 GRAND CANYON DR
VACAVILLE CA
95687-3415
US

IV. Provider business mailing address

213 GRAND CANYON DR
VACAVILLE CA
95687-3415
US

V. Phone/Fax

Practice location:
  • Phone: 916-203-5938
  • Fax:
Mailing address:
  • Phone: 916-203-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: PAULA JANSEN
Title or Position: CEO
Credential:
Phone: 916-203-5938