Provider Demographics
NPI:1851154728
Name:MEAL CARE ON THE RUN
Entity Type:Organization
Organization Name:MEAL CARE ON THE RUN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIAERRA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JACKSON-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-283-2051
Mailing Address - Street 1:15512 DENBY
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3928
Mailing Address - Country:US
Mailing Address - Phone:313-283-2051
Mailing Address - Fax:
Practice Address - Street 1:15512 DENBY
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3928
Practice Address - Country:US
Practice Address - Phone:313-283-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty