Organization
SENIOR CONNECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS KAY WALKER (DIRECTOR OF AGING SERVICES)
(972) 563-1422
Entity
Organization
Contact information
Practice address
200 S VIRGINIA ST, TERRELL, TX 75160-3716
(972) 563-1422
Mailing address
P. O. BOX 836, 200 SOUTH VIRGINIA STREET, TERRELL, TX 75160-3716
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
001000882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001000882
MEALS ON WHEELS
TX
Enumeration date
04/10/2007
Last updated
09/01/2016
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