Provider Demographics
NPI:1083182901
Name:MEALS ON WHEELS LOVELAND/BERTHOUD
Entity type:Organization
Organization Name:MEALS ON WHEELS LOVELAND/BERTHOUD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPPORT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:970-667-0311
Mailing Address - Street 1:437 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5535
Mailing Address - Country:US
Mailing Address - Phone:970-667-0311
Mailing Address - Fax:
Practice Address - Street 1:437 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5535
Practice Address - Country:US
Practice Address - Phone:970-667-0311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals