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NPI Code Detail

MEDICARE: UMOJA SUPPLY CHAIN SOLUTIONS LLC

MEDICARE: UMOJA SUPPLY CHAIN SOLUTIONS 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
1133V00000XRegistered Dietitian
2174200000XMeals Provider
3332U00000XHome Delivered Meals

General Provider Information

NPI Number : 1841054863
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMOJA SUPPLY CHAIN SOLUTIONS LLC
Provider Business Mailing Address
First Line : 13800 NORTH FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77090-6914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13800 NORTH FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77090-6914
Country : US
Telephone Number : 518-330-8185
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. JORDAN LACCETTI
Credential :
Telephone Number : 518-330-8185
Provider Enumeration Date : 02/09/2024
Last Update Date : 04/10/2026

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Directions to “UMOJA SUPPLY CHAIN SOLUTIONS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.