Provider Demographics
NPI:1922297605
Name:MEALS ON WHEELS OF PALO PINTO COUNTY, INC.
Entity Type:Organization
Organization Name:MEALS ON WHEELS OF PALO PINTO COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-325-7919
Mailing Address - Street 1:1410 SE MARTIN LUTHER KING JR. ST.
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-0011
Mailing Address - Country:US
Mailing Address - Phone:940-325-7919
Mailing Address - Fax:940-325-4388
Practice Address - Street 1:1410 SE MARTIN LUTHER KING JR. ST.
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-0011
Practice Address - Country:US
Practice Address - Phone:940-325-7919
Practice Address - Fax:940-325-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals