MEDICARE: MEALTIME CONNECTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251P0200X	Pediatric Physical Therapist
2	225XF0002X	Feeding, Eating & Swallowing Occupational Therapist
3	225XP0200X	Pediatric Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	174400000X	Specialist

General Provider Information

NPI Number	:	1912035742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEALTIME CONNECTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 40094
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85717-0094
Country	:	US
Telephone Number	:	520-829-9635
Fax Number	:	520-829-9636

Provider Business Practice Location Address
First Line	:	1601 N TUCSON BLVD STE 6
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3404
Country	:	US
Telephone Number	:	520-829-9635
Fax Number	:	520-829-9636

Authorized Official
Title or Position	:	MEMBER
Name	:	MS. KIMBERLY EDWARDS
Credential	:	OTR
Telephone Number	:	520-241-7194

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	10/25/2022

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Directions to “MEALTIME CONNECTIONS, LLC ” Practice Location

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