Healthcare Provider Details

I. General information

NPI: 1578455184
Provider Name (Legal Business Name): I USED TOO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 SUGARLOAF PKWY # 400-365
DULUTH GA
30097-4344
US

IV. Provider business mailing address

6600 SUGARLOAF PKWY # 400-365
DULUTH GA
30097-4344
US

V. Phone/Fax

Practice location:
  • Phone: 510-875-3984
  • Fax:
Mailing address:
  • Phone: 510-875-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. TRACY MIMS
Title or Position: DIRECTOR OF NURSING
Credential:
Phone: 510-875-3984