# MEALS ON WHEELS WESTERN MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699598284
- **Authorized official:** LISA WIDEMAN (PRESIDENT/CEO)
- **Authorized official phone:** (616) 403-2060

## Contact information

- **Practice address:** 2900 WILSON AVE SW STE 500, GRANDVILLE, MI 49418-1395
- **Practice address phone:** (616) 459-3111
- **Practice address fax:** (616) 224-0220
- **Mailing address:** 2900 WILSON AVE SW STE 500, GRANDVILLE, MI 49418-1395
- **Mailing address phone:** (616) 459-3111
- **Mailing address fax:** (616) 224-0220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | Yes |
| 335G00000X | Medical Foods Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 02/19/2025