Manna

LBN: Metropolitan Area Neighborhood Nutrition Alliance
Manna is an health care organization with primary practice located at 420 N 20Th St , Philadelphia PA 19130-3828. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Suppliers / Home Delivered Meals. Suppliers / Home Delivered Meals is the primary health care specialty. Metropolitan Area Neighborhood Nutrition Alliance can be contacted via phone (215) 496-2662, or through Daugherty, Susan via phone (215) 496-2662.

Contact Information

Primary practice address
420 N 20Th St Philadelphia PA 19130-3828
Phone: (215) 496-2662
Fax: (215) 496-1349
Website:
Map and Directions
Authorized official contact:
Name: Daugherty, Susan Registered Dietitian (RD)
Phone: (215) 496-2662

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Pennsylvania
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1730399064
LBN Legal business name Metropolitan Area Neighborhood Nutrition Alliance
DBA Doing business as Manna
Authorized official Daugherty, Susan Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jul 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730399064 NPPES
Pennsylvania MEDICAID 001542272-0003
Pennsylvania MEDICAID 001542272-0002

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