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Organization

KNOX COUNTY AGING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAVIS C FLOYD (COUNTY JUDGE)
(940) 459-2191
Entity
Organization

Contact information

Practice address
106 N AVE E, KNOX CITY, TX 79529
(940) 657-3618
Mailing address
PO BOX 306, KNOX CITY, TX 79529
(940) 657-3618
(940) 657-3618

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
332U0000X
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000183400
VENDOR NUMBER-DADS
TX
01
001013086
VENDOR NUMBER DADS
TX
Enumeration date
03/28/2007
Last updated
07/23/2008
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