Provider Demographics
NPI:1437200573
Name:CITY OF SWEETWATER
Entity Type:Organization
Organization Name:CITY OF SWEETWATER
Other - Org Name:SENIOR NUTRITION ACTIVITIES PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-236-6313
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:1701 ELM
Mailing Address - City:SWEETWATER
Mailing Address - State:TX
Mailing Address - Zip Code:79556-0450
Mailing Address - Country:US
Mailing Address - Phone:325-236-6344
Mailing Address - Fax:325-236-6575
Practice Address - Street 1:1701 ELM ST
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TX
Practice Address - Zip Code:79556
Practice Address - Country:US
Practice Address - Phone:325-236-6344
Practice Address - Fax:325-236-6575
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF SWEETWATER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals