Provider Demographics
NPI:1306043450
Name:CITY OF CORPUS CHRISTI SENIOR COMMUNITY SERVICES
Entity Type:Organization
Organization Name:CITY OF CORPUS CHRISTI SENIOR COMMUNITY SERVICES
Other - Org Name:NUTRITION EDUCATION SERVICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIN. & RES. MGMT. SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-826-3484
Mailing Address - Street 1:4101 A OLD BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRSITI
Mailing Address - State:TX
Mailing Address - Zip Code:78405
Mailing Address - Country:US
Mailing Address - Phone:361-826-4123
Mailing Address - Fax:361-883-1137
Practice Address - Street 1:4101 A OLD BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRSITI
Practice Address - State:TX
Practice Address - Zip Code:78405
Practice Address - Country:US
Practice Address - Phone:361-826-4123
Practice Address - Fax:361-883-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2022-07-21
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2008-06-25
Provider Licenses
StateLicense IDTaxonomies
TX133NN1002X
174200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174200000XOther Service ProvidersMeals
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty