| Organization Name: | MEALS ON WHEELS OF WESTERN BROOME, INC. |
| NPI Number: | 1275903650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN J JACOBS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 705 W Main St Endicott |
| State: | NY US |
| Postal Code: | 137604521 |
| Phone Number: | 6077547856 |
| Fax Number: | 6078210868 |
| NPI Enumeration Date: | 09/29/2015 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |