Healthcare Provider Details

I. General information

NPI: 1336068709
Provider Name (Legal Business Name): FRESH MEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 PARKER RD SE BLDG C
CONYERS GA
30094-6654
US

IV. Provider business mailing address

3243 SPRING MESA CT
SNELLVILLE GA
30039-4771
US

V. Phone/Fax

Practice location:
  • Phone: 470-840-9420
  • Fax:
Mailing address:
  • Phone: 470-840-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: KALEA WHEELER
Title or Position: OWNER/ OPERATOR
Credential: SERVSAFE/FOOD ALLERY
Phone: 470-840-9420