Healthcare Provider Details

I. General information

NPI: 1114832557
Provider Name (Legal Business Name): SHERI'S TABLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12621 WIMPOLE HALL DR
ARLINGTON TN
38002-1520
US

IV. Provider business mailing address

12621 WIMPOLE HALL DR
ARLINGTON TN
38002-1520
US

V. Phone/Fax

Practice location:
  • Phone: 904-382-9684
  • Fax: 904-382-9684
Mailing address:
  • Phone: 904-382-9684
  • 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: SHERI MCGEE
Title or Position: OWNER
Credential:
Phone: 904-382-9684