Healthcare Provider Details

I. General information

NPI: 1356027072
Provider Name (Legal Business Name): FRESHMEALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CAMEO DR
RICHBORO PA
18954-1375
US

IV. Provider business mailing address

18 CAMEO DR
RICHBORO PA
18954-1375
US

V. Phone/Fax

Practice location:
  • Phone: 215-802-9923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: IGOR FURER
Title or Position: PRESIDENT
Credential:
Phone: 215-802-9923