MEDICARE: MEALS DIRECT OF VIRGINIA, LLC

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	174200000X	Meals Provider
2	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1639927536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEALS DIRECT OF VIRGINIA, LLC

Provider Business Mailing Address
First Line	:	3801 ARAMINGO AVE UNIT 27
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 ARAMINGO AVE UNIT 27
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1003
Country	:	US
Telephone Number	:	215-613-6464
Fax Number	:

Authorized Official
Title or Position	:	GENERAL COUNSEL
Name	:	MICHAEL ZABEL
Credential	:	JD
Telephone Number	:	215-301-6284

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

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