Provider Demographics
NPI:1437911443
Name:HALL, CECILIA WARD
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:WARD
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 SE 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-7633
Mailing Address - Country:US
Mailing Address - Phone:940-445-7891
Mailing Address - Fax:
Practice Address - Street 1:1701 SE 22ND AVE
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-7633
Practice Address - Country:US
Practice Address - Phone:940-445-7891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals