Provider Demographics
NPI:1104411339
Name:SAIGON KITCHEN
Entity type:Organization
Organization Name:SAIGON KITCHEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLANT MANAGER 678
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:678-760-6913
Mailing Address - Street 1:5675 OAKBROOK PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1878
Mailing Address - Country:US
Mailing Address - Phone:678-760-6913
Mailing Address - Fax:
Practice Address - Street 1:5675 OAKBROOK PKWY STE C
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1878
Practice Address - Country:US
Practice Address - Phone:678-760-6913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals