Healthcare Provider Details

I. General information

NPI: 1083090591
Provider Name (Legal Business Name): MEALS ON WHEELS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 E MICHIGAN ST
INDIANAPOLIS IN
46202-3624
US

IV. Provider business mailing address

PO BOX 40969
INDIANAPOLIS IN
46240-0969
US

V. Phone/Fax

Practice location:
  • Phone: 317-252-5558
  • Fax: 317-252-5559
Mailing address:
  • Phone: 317-252-5558
  • Fax: 317-252-5559

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: MR. ROBERT LEWIS
Title or Position: BUSINESS DIRECTOR
Credential:
Phone: 317-252-5558