Organization
WHITE MOUNTAIN MEALS ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PREMSELAAR (CHAIRMAN)
(480) 814-9046
Entity
Organization
Contact information
Practice address
301 E MCNEIL, SHOW LOW, AZ 85901-5952
(480) 814-9046
Mailing address
301 E MCNEIL, SHOW LOW, AZ 85901-5952
(480) 814-9046
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060343
—
AZ
Enumeration date
12/21/2006
Last updated
08/22/2020
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