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Organization
SIN-SATIONAL GRUB LLC
Active
Organization
SIN-SATIONAL GRUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA SHAREE JOHNSON (CEO)
(302) 513-3045
Entity
Organization
Contact information
Practice address
1507 S LOCUST AVE, SANFORD, FL 32771-2957
(302) 513-3045
Mailing address
1507 S LOCUST AVE, SANFORD, FL 32771-2957
(302) 513-3045
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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