# SENIOR CITIZENS CLUB OF PETROLIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538202049
- **Authorized official:** MRS. MARTHA REBECCA POYNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (940) 524-3567

## Contact information

- **Practice address:** 111 NORTH PRAIRIE AVENUE, PETROLIA, TX 76377-0234
- **Practice address phone:** (940) 524-3567
- **Practice address fax:** (940) 524-3583
- **Mailing address:** PO BOX 234, PETROLIA, TX 76377-0234
- **Mailing address phone:** (940) 524-3567
- **Mailing address fax:** (940) 524-3583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | TX | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020