MEDICARE: TRIO COMMUNITY MEALS, 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	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1740096973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIO COMMUNITY MEALS, LLC

Provider Business Mailing Address
First Line	:	100 VALLEY DR
Second Line	:
City	:	PEARL
State	:	MS
Zip	:	39208-6760
Country	:	US
Telephone Number	:	844-773-0370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 GARDEN LAKE PL
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2783
Country	:	US
Telephone Number	:	419-382-5791
Fax Number	:

Authorized Official
Title or Position	:	CLIENT PARTNERSHIP DIRECTOR
Name	:	DONNA DORAN
Credential	:
Telephone Number	:	601-594-0252

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/06/2024

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Directions to “TRIO COMMUNITY MEALS, LLC ” Practice Location

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