Provider Demographics
NPI:1497182364
Name:JA FOOD SERVICE
Entity Type:Organization
Organization Name:JA FOOD SERVICE
Other - Org Name:WE CARE MEALS ON WHEELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-926-2080
Mailing Address - Street 1:377 RIFORD ST
Mailing Address - Street 2:
Mailing Address - City:BENTON HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:49022-3417
Mailing Address - Country:US
Mailing Address - Phone:269-926-2080
Mailing Address - Fax:269-926-2999
Practice Address - Street 1:377 RIFORD ST
Practice Address - Street 2:
Practice Address - City:BENTON HARBOR
Practice Address - State:MI
Practice Address - Zip Code:49022-3417
Practice Address - Country:US
Practice Address - Phone:269-926-2080
Practice Address - Fax:269-926-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals