Provider Demographics
NPI:1154488153
Name:STARR CATERING AND FOOD SERVICE, INC.
Entity type:Organization
Organization Name:STARR CATERING AND FOOD SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-383-9999
Mailing Address - Street 1:832 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-3114
Mailing Address - Country:US
Mailing Address - Phone:216-383-9999
Mailing Address - Fax:216-531-3222
Practice Address - Street 1:832 LONDON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3114
Practice Address - Country:US
Practice Address - Phone:216-383-9999
Practice Address - Fax:216-531-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0971775Medicaid