Healthcare Provider Details

I. General information

NPI: 1336886571
Provider Name (Legal Business Name): EASY MEALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 FORDHAM RD
PHILADELPHIA PA
19114-3803
US

IV. Provider business mailing address

3116 FORDHAM RD
PHILADELPHIA PA
19114-3803
US

V. Phone/Fax

Practice location:
  • Phone: 267-312-9002
  • 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: ALI LOMILI
Title or Position: OWNER
Credential:
Phone: 267-312-9002