Organization
THE FOOD DEPOT
Active
Organization
THE FOOD DEPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL DIXON (EXECUTIVE DIRECTOR)
(505) 510-5782
Entity
Organization
Contact information
Practice address
1222A SILER RD STE A, SANTA FE, NM 87507-3158
(505) 510-5782
(505) 510-5782
Mailing address
1222A SILER RD STE A, SANTA FE, NM 87507-3158
(505) 510-5782
(505) 510-5782
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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