Organization
SENIOR MEAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC BOYD CDM (PRESIDENT)
(678) 698-2328
Entity
Organization
Contact information
Practice address
4686 BROWNS MILL LN, LITHONIA, GA 30038-4673
(678) 698-2328
Mailing address
PO BOX 361895, DECATUR, GA 30036-1895
(678) 698-2328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD0010727
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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