Healthcare Provider Details

I. General information

NPI: 1588189807
Provider Name (Legal Business Name): MEALS ON WHEELS OF BOULDER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ARAPAHOE AVE STE 121
BOULDER CO
80302-6286
US

IV. Provider business mailing address

909 ARAPAHOE AVE STE 121
BOULDER CO
80302-6286
US

V. Phone/Fax

Practice location:
  • Phone: 303-441-3908
  • Fax:
Mailing address:
  • Phone: 303-441-3908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FRANCEA PHILLIPS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 303-441-3908