Organization
JASPER COUNTY COMMITTEE ON AGING INC
Active
Other names
Jasper Senior Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH MCMILLON (DIRECTOR)
(409) 384-3701
Entity
Organization
Contact information
Practice address
409 N FLETCHER ST, JASPER, TX 75951-3805
(409) 384-3701
(409) 383-0302
Mailing address
409 N FLETCHER ST, JASPER, TX 75951-3805
(409) 384-3701
(409) 383-0302
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001000821
PROVIDER NUMBER ID
TX
Enumeration date
04/11/2007
Last updated
10/06/2011
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