Healthcare Provider Details

I. General information

NPI: 1699660548
Provider Name (Legal Business Name): THE PERFECT PLATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 MALLINCKRODT ST
SAINT LOUIS MO
63107-3119
US

IV. Provider business mailing address

2211 MALLINCKRODT ST
SAINT LOUIS MO
63107-3119
US

V. Phone/Fax

Practice location:
  • Phone: 314-262-5860
  • Fax:
Mailing address:
  • Phone: 314-262-5860
  • 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: LAKYNDRIA WALKER
Title or Position: CEO
Credential:
Phone: 314-262-5860