Organization Name: | MADISON COUNTY ELDERLY SERVICES |
NPI Number: | 1073715629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAREE BARBARA OWENS (EXECUTIVE DIRECTOR) |
Mailing Address: | 1006 N 1st St Winterset |
State: | IA US |
Postal Code: | 502731233 |
Phone Number: | 5154621334 |
Fax Number: | 5154621357 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |