Healthcare Provider Details

I. General information

NPI: 1184846669
Provider Name (Legal Business Name): ALLEREADY FOODS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10171 COLONIAL INDUSTRIAL DR.
SOUTH LYON MI
48178-9149
US

IV. Provider business mailing address

1622 E. LINCOLN AVE.
ROYAL OAK MI
48067-3403
US

V. Phone/Fax

Practice location:
  • Phone: 248-890-0177
  • Fax:
Mailing address:
  • Phone: 248-546-3847
  • Fax: 248-543-2641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number21619
License Number StateMI

VIII. Authorized Official

Name: MRS. JILL HALL
Title or Position: PRESIDENT
Credential:
Phone: 248-546-3847