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Organization
SISTER'S HOME STYLE ENTREES
Active
Organization
SISTER'S HOME STYLE ENTREES
Active
Other names
Sister's Home Style Entrees
Organization subpart
No
Provider details
NPI number
Authorized official
DEB DAVIS (CEO)
(515) 332-1928
Entity
Organization
Contact information
Practice address
1303 22ND ST N, HUMBOLDT, IA 50548-8896
(515) 332-1928
Mailing address
1303 22ND ST N, HUMBOLDT, IA 50548-8896
(515) 332-1928
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000220031
—
IA
Enumeration date
08/15/2018
Last updated
08/15/2018
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