Provider Demographics
NPI:1750502639
Name:KLEBERG COUNTY
Entity Type:Organization
Organization Name:KLEBERG COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:MR
Authorized Official - First Name:RUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-595-8585
Mailing Address - Street 1:KLEBERG COUNTY HUMAN SERVICES
Mailing Address - Street 2:1109 E. SANTA GERTRUDIS
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363
Mailing Address - Country:US
Mailing Address - Phone:361-595-8572
Mailing Address - Fax:361-595-8578
Practice Address - Street 1:KLEBERG COUNTY HUMAN SERVICES
Practice Address - Street 2:1109 E. SANTA GERTRUDIS
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363
Practice Address - Country:US
Practice Address - Phone:361-595-8572
Practice Address - Fax:361-595-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332U00000XSuppliersHome Delivered Meals
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty