Healthcare Provider Details

I. General information

NPI: 1912816869
Provider Name (Legal Business Name): GOURMET ON WHEELS DA FOOD DEALERZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 TRICIA CT
WESTWEGO LA
70094-3761
US

IV. Provider business mailing address

709 TRICIA CT
WESTWEGO LA
70094-3761
US

V. Phone/Fax

Practice location:
  • Phone: 504-495-5264
  • Fax: 504-495-5264
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: INGRID FRANK
Title or Position: MANAGER
Credential:
Phone: 504-495-5264