MEDICARE: METRO MEALS ON WHEELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1326389370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO MEALS ON WHEELS

Provider Business Mailing Address
First Line	:	1200 WASHINGTON AVE S
Second Line	:	SUITE 380
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1295
Country	:	US
Telephone Number	:	612-623-3363
Fax Number	:	612-331-9401

Provider Business Practice Location Address
First Line	:	1200 WASHINGTON AVE S
Second Line	:	SUITE 380
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1295
Country	:	US
Telephone Number	:	612-623-3363
Fax Number	:	612-331-9401

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	PATRICK ROWAN
Credential	:
Telephone Number	:	612-623-3363

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	03/14/2013

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Directions to “METRO MEALS ON WHEELS ” Practice Location

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