NPI 1144616640

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Organisation Home Delivered Meals Snellville, GA

Practice location

Address: 4200 Riverlake Way, Snellville, GA 30039-8722
Phone: (404) 797-8776
Mailing address: 3375 Centerville Hwy Unit 392624, Snellville, GA 30039-0125

Authorised official

Name: Deborah McKinnies-Wesley
Title: Agent
Phone: (678) 344-8849

Registered specialties

Home Delivered Meals Primary

Suppliers Taxonomy 332U00000X Licence 2015011531 (GA)

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Registry record

NPI: 1144616640
Entity type: Organization
NPI issued: 10 Apr 2015
Record last updated: 3 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.