Organization
MEALS ON WHEELS WESTERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WIDEMAN (PRESIDENT/CEO)
(616) 403-2060
Entity
Organization
Contact information
Practice address
2900 WILSON AVE SW STE 500, GRANDVILLE, MI 49418-1395
(616) 459-3111
(616) 224-0220
Mailing address
2900 WILSON AVE SW STE 500, GRANDVILLE, MI 49418-1395
(616) 459-3111
(616) 224-0220
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
Primary
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
11/04/2024
Last updated
02/19/2025
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