Provider Demographics
NPI:1649781535
Name:PLANET MEALS
Entity type:Organization
Organization Name:PLANET MEALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLAZER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:216-315-8183
Mailing Address - Street 1:3861 EASTWAY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2337
Mailing Address - Country:US
Mailing Address - Phone:216-381-5858
Mailing Address - Fax:
Practice Address - Street 1:3861 EASTWAY RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-2337
Practice Address - Country:US
Practice Address - Phone:216-381-5858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals