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General NPI Number Information
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NPI Number | 1568347672
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Entity Type | Organization
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Legal Business Name | HEALTHY MEALS DIRECT, LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2673 MIDDLE COUNTRY RD
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City | LAKE GROVE
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State | NY
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Zip | 11755-2110
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Country | US
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Telephone | 631-260-3668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 391
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City | YAPHANK
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State | NY
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Zip | 11980-0391
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND COMPLIANCE
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Name | VICTORIA MARTINEZ
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Credential |
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Telephone | 631-260-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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