Provider Demographics
NPI:1225106339
Name:NUTRITION AND SERVICES FOR SENIORS
Entity Type:Organization
Organization Name:NUTRITION AND SERVICES FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHELLENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-892-4455
Mailing Address - Street 1:4590 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-1806
Mailing Address - Country:US
Mailing Address - Phone:409-892-4455
Mailing Address - Fax:409-892-0443
Practice Address - Street 1:4590 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-1806
Practice Address - Country:US
Practice Address - Phone:409-892-4455
Practice Address - Fax:409-892-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332U00000X332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals