Provider Demographics
NPI:1750832630
Name:DUNKIRK & FREDONIA MEALS ON WHEELS
Entity Type:Organization
Organization Name:DUNKIRK & FREDONIA MEALS ON WHEELS
Other - Org Name:DUNKIRK-FREDONIA MEALS ON WHEELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PACOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-366-8822
Mailing Address - Street 1:196 NEWTON ST STE 5
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1332
Mailing Address - Country:US
Mailing Address - Phone:716-366-8222
Mailing Address - Fax:716-366-9847
Practice Address - Street 1:196 NEWTON ST STE 5
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1332
Practice Address - Country:US
Practice Address - Phone:716-366-8222
Practice Address - Fax:716-366-9847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals