Provider Demographics
NPI:1043889009
Name:WOLCOTT FOODS LLC
Entity Type:Organization
Organization Name:WOLCOTT FOODS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-283-7008
Mailing Address - Street 1:PO BOX 12157
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-0157
Mailing Address - Country:US
Mailing Address - Phone:913-283-7008
Mailing Address - Fax:844-257-1775
Practice Address - Street 1:7536 ARMSTRONG AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2538
Practice Address - Country:US
Practice Address - Phone:913-283-7008
Practice Address - Fax:844-257-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals