Provider Demographics
NPI:1225187537
Name:FRIENDS OF ELDER CITIZENS, INC.
Entity Type:Organization
Organization Name:FRIENDS OF ELDER CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-972-9921
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:PALACIOS
Mailing Address - State:TX
Mailing Address - Zip Code:77465-0791
Mailing Address - Country:US
Mailing Address - Phone:361-972-9921
Mailing Address - Fax:361-972-9966
Practice Address - Street 1:312 MAIN ST
Practice Address - Street 2:
Practice Address - City:PALACIOS
Practice Address - State:TX
Practice Address - Zip Code:77465-5462
Practice Address - Country:US
Practice Address - Phone:361-972-9921
Practice Address - Fax:361-972-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus