Provider Demographics
NPI:1245836576
Name:RED CATERING SERVICES LLC
Entity type:Organization
Organization Name:RED CATERING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-291-7394
Mailing Address - Street 1:3550 CAROLINE VALE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-9313
Mailing Address - Country:US
Mailing Address - Phone:904-442-3732
Mailing Address - Fax:
Practice Address - Street 1:2909 TOWNSEND BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-3709
Practice Address - Country:US
Practice Address - Phone:904-442-3732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care