Provider Demographics
NPI:1013173368
Name:CENTRAL TEXAS SENIOR MINISTRY
Entity Type:Organization
Organization Name:CENTRAL TEXAS SENIOR MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCDERMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-752-0316
Mailing Address - Street 1:501 W WACO DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76707-3838
Mailing Address - Country:US
Mailing Address - Phone:254-752-0316
Mailing Address - Fax:254-752-0387
Practice Address - Street 1:501 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76707-3838
Practice Address - Country:US
Practice Address - Phone:254-752-0316
Practice Address - Fax:254-752-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals