Provider Demographics
NPI:1184846669
Name:ALLEREADY FOODS, L.L.C.
Entity Type:Organization
Organization Name:ALLEREADY FOODS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-546-3847
Mailing Address - Street 1:1622 E. LINCOLN AVE.
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3403
Mailing Address - Country:US
Mailing Address - Phone:248-546-3847
Mailing Address - Fax:248-543-2641
Practice Address - Street 1:10171 COLONIAL INDUSTRIAL DR.
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9149
Practice Address - Country:US
Practice Address - Phone:248-890-0177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI21619332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2463954Medicaid