Provider Demographics
NPI:1942335591
Name:MEALS ON WHEELS, INC. OF TARRANT COUNTY
Entity Type:Organization
Organization Name:MEALS ON WHEELS, INC. OF TARRANT COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-336-0912
Mailing Address - Street 1:320 SOUTH FWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3525
Mailing Address - Country:US
Mailing Address - Phone:817-336-0912
Mailing Address - Fax:817-338-1066
Practice Address - Street 1:320 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3525
Practice Address - Country:US
Practice Address - Phone:817-336-0912
Practice Address - Fax:817-338-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2011-03-28
Deactivation Date:2007-09-25
Deactivation Code:
Reactivation Date:2011-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals