Provider Demographics
NPI:1033721956
Name:HOCKLEY COUNTY SENIOR CITIZENS
Entity type:Organization
Organization Name:HOCKLEY COUNTY SENIOR CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-894-2228
Mailing Address - Street 1:1202 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-3524
Mailing Address - Country:US
Mailing Address - Phone:806-894-2228
Mailing Address - Fax:806-894-2220
Practice Address - Street 1:1202 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-3524
Practice Address - Country:US
Practice Address - Phone:806-894-2228
Practice Address - Fax:806-894-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals