Organization
FOOD4FORLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE SANTIAGO (COORDINATOR)
(267) 970-9121
Entity
Organization
Contact information
Practice address
45 E CITY AVE STE 463, BALA CYNWYD, PA 19004-2421
(267) 970-9121
Mailing address
45 E CITY AVE STE 463, BALA CYNWYD, PA 19004-2421
(267) 970-9121
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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