Healthcare Provider Details
I. General information
NPI: 1750138061
Provider Name (Legal Business Name): MEALS DIRECT OF DELAWARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
614 N DUPONT HWY STE 210
DOVER DE
19901-3900
US
IV. Provider business mailing address
3801 ARAMINGO AVE UNIT 27
PHILADELPHIA PA
19137-1003
US
V. Phone/Fax
- Phone: 215-301-6284
- Fax:
- Phone: 215-301-6284
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ZABEL
Title or Position: GENERAL COUNSEL
Credential: JD
Phone: 215-301-6284