Provider Demographics
NPI:1861763906
Name:HALE COUNTY MEALS ON WHEELS
Entity type:Organization
Organization Name:HALE COUNTY MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-292-9020
Mailing Address - Street 1:401 MESA CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-6507
Mailing Address - Country:US
Mailing Address - Phone:806-292-9020
Mailing Address - Fax:806-293-0037
Practice Address - Street 1:2601 DIMMITT RD
Practice Address - Street 2:COVENANT HOSPITAL PLAINVIEW
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1833
Practice Address - Country:US
Practice Address - Phone:806-292-9020
Practice Address - Fax:806-293-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals