Provider Demographics
NPI:1730203084
Name:ANSON MEALS ON WHEELS
Entity type:Organization
Organization Name:ANSON MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD COOK-BILLING
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBALLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-823-2122
Mailing Address - Street 1:1225 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:ANSON
Mailing Address - State:TX
Mailing Address - Zip Code:79501-4425
Mailing Address - Country:US
Mailing Address - Phone:325-823-2122
Mailing Address - Fax:
Practice Address - Street 1:1225 AVENUE J
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501-4425
Practice Address - Country:US
Practice Address - Phone:325-823-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals