Healthcare Provider Details

I. General information

NPI: 1154488153
Provider Name (Legal Business Name): STARR CATERING AND FOOD SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 LONDON RD
CLEVELAND OH
44110-3114
US

IV. Provider business mailing address

832 LONDON RD
CLEVELAND OH
44110-3114
US

V. Phone/Fax

Practice location:
  • Phone: 216-383-9999
  • Fax: 216-531-3222
Mailing address:
  • Phone: 216-383-9999
  • Fax: 216-531-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MS. BRENDA WILSON
Title or Position: PRESIDENT
Credential:
Phone: 216-383-9999