Organization
URBAN TILTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO LEMUS (PROGRAM COORDINATOR)
(510) 932-1059
Entity
Organization
Contact information
Practice address
323 BROOKSIDE DR, RICHMOND, CA 94801-1301
(510) 232-0911
Mailing address
323 BROOKSIDE DR, RICHMOND, CA 94801-1301
(510) 232-0911
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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