Provider Demographics
NPI:1255470852
Name:DIETERT CLAIM SENIOR CITIZENS CENTER, INC.
Entity Type:Organization
Organization Name:DIETERT CLAIM SENIOR CITIZENS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-792-4044
Mailing Address - Street 1:617 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4505
Mailing Address - Country:US
Mailing Address - Phone:830-792-4044
Mailing Address - Fax:830-896-4968
Practice Address - Street 1:617 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4505
Practice Address - Country:US
Practice Address - Phone:830-792-4044
Practice Address - Fax:830-896-4968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals