Organization
LIL INDIAN'S MOBILE MEALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PRISCILLA LYNETTE JACKSON (OWNER)
(330) 881-1298
Entity
Organization
Contact information
Practice address
3662 LOVELAND RD., YOUNGSTOWN, OH 44502
(330) 881-1298
Mailing address
3662 LOVELAND RD., YOUNGSTOWN, OH 44502
(330) 881-1298
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
12/17/2019
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