Provider Demographics
NPI:1215243050
Name:DAVIS COMMUNITY MEALS
Entity type:Organization
Organization Name:DAVIS COMMUNITY MEALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:530-756-4008
Mailing Address - Street 1:PO BOX 72463
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95617-2463
Mailing Address - Country:US
Mailing Address - Phone:530-756-4008
Mailing Address - Fax:
Practice Address - Street 1:202 F ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4515
Practice Address - Country:US
Practice Address - Phone:530-756-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable