Provider Demographics
NPI:1043594724
Name:MULTIPLE STREAMS INC
Entity Type:Organization
Organization Name:MULTIPLE STREAMS INC
Other - Org Name:TASTE-N-SEA RESTAURANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-256-6882
Mailing Address - Street 1:1501 IBERIA ST
Mailing Address - Street 2:P.O. BOX 10722
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-7206
Mailing Address - Country:US
Mailing Address - Phone:337-369-4202
Mailing Address - Fax:337-369-4203
Practice Address - Street 1:1501 IBERIA ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-7206
Practice Address - Country:US
Practice Address - Phone:337-369-4202
Practice Address - Fax:337-369-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals