| NPI | 1558496620 |
|---|---|
| Other Name | WAIVER |
| Entity Type | Organization |
| Authorized Contact | RONNEL BADERTSCHER Business Office Manager 712-623-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 690075H) |
| Additional Taxonomies | 332U00000X Home Delivered Meals (Licence: IA 690075H) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |