Provider Demographics
NPI:1871993378
Name:SENIOR CITIZENS SERVICES
Entity type:Organization
Organization Name:SENIOR CITIZENS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-831-7696
Mailing Address - Street 1:905 S KILGORE ST
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-6783
Mailing Address - Country:US
Mailing Address - Phone:903-831-7696
Mailing Address - Fax:903-831-7869
Practice Address - Street 1:905 S KILGORE ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-6783
Practice Address - Country:US
Practice Address - Phone:903-831-7696
Practice Address - Fax:903-831-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals