Provider Demographics
NPI:1700991502
Name:KIMBLE COUNTY MEALS ON WHEELS
Entity Type:Organization
Organization Name:KIMBLE COUNTY MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-446-3621
Mailing Address - Street 1:404 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-4732
Mailing Address - Country:US
Mailing Address - Phone:325-446-3621
Mailing Address - Fax:325-446-9041
Practice Address - Street 1:404 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849
Practice Address - Country:US
Practice Address - Phone:325-446-3621
Practice Address - Fax:325-446-9041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No251V00000XAgenciesVoluntary or Charitable