Provider Demographics
NPI:1972724771
Name:NUTRITIONAL SERVICES FOR OLDER AMERICANS, INC.
Entity Type:Organization
Organization Name:NUTRITIONAL SERVICES FOR OLDER AMERICANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TERHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-755-0434
Mailing Address - Street 1:1540 W SHERMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-3543
Mailing Address - Country:US
Mailing Address - Phone:231-755-0434
Mailing Address - Fax:231-755-7805
Practice Address - Street 1:1540 W SHERMAN BLVD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-3543
Practice Address - Country:US
Practice Address - Phone:231-755-0434
Practice Address - Fax:231-755-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals