Provider Demographics
NPI:1942690524
Name:ERATH COUNTY SENIOR CITIZENS, INC
Entity Type:Organization
Organization Name:ERATH COUNTY SENIOR CITIZENS, INC
Other - Org Name:MEALS ON WHEELS OFERATH COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-965-3510
Mailing Address - Street 1:1306 E WASHINGTON ST
Mailing Address - Street 2:STE M
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-4614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1306 E WASHINGTON ST
Practice Address - Street 2:STE M
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-4614
Practice Address - Country:US
Practice Address - Phone:254-965-3510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals