Organization
REEVES COUNTY HOME DELIVERED MEALS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WON JOO BANG M.D. (REEVES COUNTY JUDGE)
(432) 445-5418
Entity
Organization
Contact information
Practice address
700 W DAGGETT ST, SUITE F, PECOS, TX 79772-6900
(432) 447-0333
(432) 447-0373
Mailing address
700 W DAGGETT ST, SUITE F, PECOS, TX 79772-6900
(432) 447-0333
(432) 447-0373
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332U00000X
HOME DELIVERED MEALS CCAD
TX
Enumeration date
02/23/2007
Last updated
07/29/2015
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