Provider Demographics
NPI:1750446035
Name:SOUTH TEXAS SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:SOUTH TEXAS SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLDO
Authorized Official - Middle Name:C
Authorized Official - Last Name:BENAVIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-592-3000
Mailing Address - Street 1:1420 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-4087
Mailing Address - Country:US
Mailing Address - Phone:361-592-3000
Mailing Address - Fax:361-592-5888
Practice Address - Street 1:1420 N 17TH ST
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4087
Practice Address - Country:US
Practice Address - Phone:361-592-3000
Practice Address - Fax:361-592-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117278261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care