Healthcare Provider Details

I. General information

NPI: 1962312314
Provider Name (Legal Business Name): PALMETTO MEALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 ANDERSON RD S STE 213
ROCK HILL SC
29730-3392
US

IV. Provider business mailing address

454 ANDERSON RD S STE 213
ROCK HILL SC
29730-3392
US

V. Phone/Fax

Practice location:
  • Phone: 803-389-3727
  • Fax:
Mailing address:
  • Phone: 803-389-3727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALISHA DAVIS
Title or Position: CEO
Credential:
Phone: 803-389-3727