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Organization

SENIOR CITIZENS CLUB OF PETROLIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA REBECCA POYNER (EXECUTIVE DIRECTOR)
(940) 524-3567
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
TX

Other

Enumeration date
02/14/2007
Last updated
08/22/2020
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