Provider Demographics
NPI:1073946729
Name:TRI-COUNTY SENIOR NUTRITION PROJECT, INC.
Entity Type:Organization
Organization Name:TRI-COUNTY SENIOR NUTRITION PROJECT, INC.
Other - Org Name:MEALS ON WHEELS OF TEXOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:J.
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-786-3351
Mailing Address - Street 1:4114 AIRPORT DR
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-8701
Mailing Address - Country:US
Mailing Address - Phone:903-786-3351
Mailing Address - Fax:903-786-8893
Practice Address - Street 1:4114 AIRPORT DR
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-8701
Practice Address - Country:US
Practice Address - Phone:903-786-3351
Practice Address - Fax:903-786-8893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care