Provider Demographics
NPI:1093505000
Name:MARTIN SENIOR SERVICE CENTER, INC.
Entity type:Organization
Organization Name:MARTIN SENIOR SERVICE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-594-2625
Mailing Address - Street 1:400 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:TX
Mailing Address - Zip Code:75862-7615
Mailing Address - Country:US
Mailing Address - Phone:936-594-2625
Mailing Address - Fax:936-594-2625
Practice Address - Street 1:400 WALKER ST
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:TX
Practice Address - Zip Code:75862-7615
Practice Address - Country:US
Practice Address - Phone:936-594-2625
Practice Address - Fax:936-594-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals