MEDICARE: MEALS ON WHEELS OF MACON & BIBB COUNTY, INC.

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	:	1366411472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEALS ON WHEELS OF MACON & BIBB COUNTY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6333
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31208-6333
Country	:	US
Telephone Number	:	478-745-9140
Fax Number	:	478-745-5968

Provider Business Practice Location Address
First Line	:	1212 GRAY HWY
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31211-1967
Country	:	US
Telephone Number	:	478-745-9140
Fax Number	:	478-745-5968

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	WYNELL HINTON
Credential	:
Telephone Number	:	478-745-9140

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/22/2020

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