Healthcare Provider Details

I. General information

NPI: 1760518690
Provider Name (Legal Business Name): B&BS MOBILE FOOD & CATERING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 CENTRAL AVE
WHEELERSBURG OH
45694-9205
US

IV. Provider business mailing address

802 CENTRAL AVE
WHEELERSBURG OH
45694-9205
US

V. Phone/Fax

Practice location:
  • Phone: 740-574-2991
  • Fax:
Mailing address:
  • Phone: 740-574-2991
  • 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: BRENDA SUE HURLEY
Title or Position: OWNER
Credential:
Phone: 740-574-2991