Individual provider · Type 1 NPI

Ari Benjamin De Souza

Meals Provider · Duluth, GA

NPI number 1760290597 Active

Practice location

1770 Peachtree Industrial Blvd Unit 1112
Duluth, GA 30097-8257

Specialties and licenses

TaxonomyCodeLicense
Home Modifications Contractor 171WH0202XNone listed
Driver 172A00000XNone listed
Lodging Provider 177F00000XNone listed
Meals Provider Primary 174200000XNone listed

Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

About NPI 1760290597

Ari Benjamin De Souza's National Provider Identifier is 1760290597, issued on Dec 26, 2024. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Duluth, GA. The record was last updated on Dec 26, 2024.