Healthcare Provider Details

I. General information

NPI: 1720909690
Provider Name (Legal Business Name): EVERYTHING YUMMY PARTY RENTAL AND SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 NETTLEBROOK DR
WINSTON SALEM NC
27106-9412
US

IV. Provider business mailing address

2255 NETTLEBROOK DR
WINSTON SALEM NC
27106-9412
US

V. Phone/Fax

Practice location:
  • Phone: 336-749-1011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: LASHUNDA THOMAS
Title or Position: OWNER
Credential:
Phone: 336-749-1011