Healthcare Provider Details

I. General information

NPI: 1255157079
Provider Name (Legal Business Name): RGGM MEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 S C C DUSON ST STE B
EUNICE LA
70535-5407
US

IV. Provider business mailing address

731 S C C DUSON ST STE B
EUNICE LA
70535-5407
US

V. Phone/Fax

Practice location:
  • Phone: 855-201-0532
  • Fax:
Mailing address:
  • Phone: 855-201-0532
  • 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: KAYLA GIVS
Title or Position: OWNER
Credential:
Phone: 855-201-0532