Provider Demographics
NPI:1033725593
Name:THE HEALTHY SCHOOL FOOD COLLABORATIVE 1, LLC
Entity Type:Organization
Organization Name:THE HEALTHY SCHOOL FOOD COLLABORATIVE 1, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD
Authorized Official - Phone:985-285-1593
Mailing Address - Street 1:701 LOYOLA AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1912
Mailing Address - Country:US
Mailing Address - Phone:985-285-1593
Mailing Address - Fax:
Practice Address - Street 1:701 LOYOLA AVE STE 403
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:985-285-1593
Practice Address - Fax:504-324-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No174200000XOther Service ProvidersMeals