Organization
MARTIN SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MANN (VOLUNTEER TREASURER)
(936) 594-2625
Entity
Organization
Contact information
Practice address
400 WALKER STREET, TRINITY, TX 75862
(936) 594-2625
(936) 594-7456
Mailing address
POST OFFICE BOX 1999, 400 WALKER STREET, TRINITY, TX 75862
(936) 594-2625
(936) 594-7456
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D001000822
TX DADS
TX
Enumeration date
08/29/2014
Last updated
08/29/2014
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