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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