Provider Demographics
NPI:1336510148
Name:NORTH AREA MEALS ON WHEELS
Entity Type:Organization
Organization Name:NORTH AREA MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:315-452-1402
Mailing Address - Street 1:413 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-2454
Mailing Address - Country:US
Mailing Address - Phone:315-452-1402
Mailing Address - Fax:315-452-0146
Practice Address - Street 1:413 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2454
Practice Address - Country:US
Practice Address - Phone:315-452-1402
Practice Address - Fax:315-452-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization