MEDICARE: MOBILE MEALS, 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	251V00000X	Voluntary or Charitable Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5070-130	OTHER	OH	AAOA CARE COORDINATION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	411663	OTHER	OH	AAOA PASSPORT PROGRAM

General Provider Information

NPI Number	:	1891819967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE MEALS, INC.

Provider Business Mailing Address
First Line	:	1063 S BROADWAY ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-2340
Country	:	US
Telephone Number	:	330-376-7717
Fax Number	:	330-253-3115

Provider Business Practice Location Address
First Line	:	1063 S BROADWAY ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-2340
Country	:	US
Telephone Number	:	330-376-7717
Fax Number	:	330-253-3115

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATHLEEN D. DOWNING
Credential	:
Telephone Number	:	330-376-7717

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	04/17/2008

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Directions to “MOBILE MEALS, INC. ” Practice Location

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