Organization
NUTRITION AND SERVICES FOR SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE E SHELLENBERGER (EXECUTIVE DIRECTOR)
(409) 892-4455
Entity
Organization
Contact information
Practice address
4590 CONCORD RD, BEAUMONT, TX 77703-1806
(409) 892-4455
(409) 892-0443
Mailing address
4590 CONCORD RD, BEAUMONT, TX 77703-1806
(409) 892-4455
(409) 892-0443
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
332U00000X
TX
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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