Organization Name: | TRI-COUNTY SENIOR NUTRITION PROJECT, INC. |
NPI Number: | 1073946729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | J. GREG PITTMAN (EXECUTIVE DIRECTOR) |
Mailing Address: | 4114 Airport Dr Denison |
State: | TX US |
Postal Code: | 750208701 |
Phone Number: | 9037863351 |
Fax Number: | 9037868893 |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |