Provider Demographics
NPI:1245802115
Name:A NUTRIENT IN TIME
Entity type:Organization
Organization Name:A NUTRIENT IN TIME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NUTRITION
Authorized Official - Prefix:
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-572-6157
Mailing Address - Street 1:409 BOUNDRY ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:TX
Mailing Address - Zip Code:75773-2305
Mailing Address - Country:US
Mailing Address - Phone:318-572-6157
Mailing Address - Fax:800-708-7349
Practice Address - Street 1:409 BOUNDRY ST UNIT 101
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773-2305
Practice Address - Country:US
Practice Address - Phone:318-572-6157
Practice Address - Fax:800-708-7349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174200000XOther Service ProvidersMeals
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No332U00000XSuppliersHome Delivered Meals