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Organization

A NUTRIENT IN TIME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIETTE SHIVERS (DIRECTOR OF NUTRITION)
(318) 572-6157
Entity
Organization

Contact information

Practice address
409 BOUNDRY ST UNIT 101, MINEOLA, TX 75773-2305
(318) 572-6157
(800) 708-7349
Mailing address
409 BOUNDRY ST UNIT 101, MINEOLA, TX 75773-2305
(318) 572-6157
(800) 708-7349

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
174200000X
Meals Provider
Primary
332U00000X
Home Delivered Meals

Other

Enumeration date
07/12/2021
Last updated
03/18/2024
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