Organization
SOUL FOOD NEAR ME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MOSLEY (MANAGER)
(484) 716-5426
Entity
Organization
Contact information
Practice address
4583 TACONY ST FL 1, PHILA, PA 19124-4135
(484) 716-5426
Mailing address
4583 TACONY ST FL 1, PHILA, PA 19124-4135
(484) 716-5426
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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