Provider Demographics
NPI:1700146701
Name:HALE CENTER SENIOR CITIZENS ASSOCIATION
Entity Type:Organization
Organization Name:HALE CENTER SENIOR CITIZENS ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-839-2428
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:416 W 2ND ST.
Mailing Address - City:HALE CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:79041-0205
Mailing Address - Country:US
Mailing Address - Phone:806-839-2428
Mailing Address - Fax:
Practice Address - Street 1:416 W 2ND ST.
Practice Address - Street 2:
Practice Address - City:HALE CENTER
Practice Address - State:TX
Practice Address - Zip Code:79041-0205
Practice Address - Country:US
Practice Address - Phone:806-839-2428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals