Provider Demographics
NPI:1386944973
Name:WAYZATA-PLYMOUTH MEALS ON WHEELS, INC.
Entity type:Organization
Organization Name:WAYZATA-PLYMOUTH MEALS ON WHEELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMMEREID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-553-7762
Mailing Address - Street 1:14990 44TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2668
Mailing Address - Country:US
Mailing Address - Phone:763-553-7762
Mailing Address - Fax:
Practice Address - Street 1:14990 44TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-2668
Practice Address - Country:US
Practice Address - Phone:763-553-7762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals