Provider Demographics
NPI:1235377722
Name:AMATULLA MEALS
Entity Type:Organization
Organization Name:AMATULLA MEALS
Other - Org Name:ADRIENNE WOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-923-1441
Mailing Address - Street 1:3581 DALEFORD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5230
Mailing Address - Country:US
Mailing Address - Phone:216-923-1441
Mailing Address - Fax:
Practice Address - Street 1:3581 DALEFORD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-5230
Practice Address - Country:US
Practice Address - Phone:216-923-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMATULLA MEALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals