Provider Demographics
NPI:1275575946
Name:MEALS ON WHEELS PLUS OF MANATEE, INC.
Entity Type:Organization
Organization Name:MEALS ON WHEELS PLUS OF MANATEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-747-4655
Mailing Address - Street 1:811 23RD AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-3735
Mailing Address - Country:US
Mailing Address - Phone:941-747-4655
Mailing Address - Fax:941-747-9871
Practice Address - Street 1:2703 19TH STREET CT E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-7605
Practice Address - Country:US
Practice Address - Phone:941-747-4655
Practice Address - Fax:941-747-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1079385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care