MEDICARE: HOCKLEY COUNTY SENIOR CITIZENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1033721956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOCKLEY COUNTY SENIOR CITIZENS

Provider Business Mailing Address
First Line	:	1202 HOUSTON ST
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-3524
Country	:	US
Telephone Number	:	806-894-2228
Fax Number	:	806-894-2220

Provider Business Practice Location Address
First Line	:	1202 HOUSTON ST
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-3524
Country	:	US
Telephone Number	:	806-894-2228
Fax Number	:	806-894-2220

Authorized Official
Title or Position	:	EXEUTIVE DIRECTOR
Name	:	SHELLY BAIGEN
Credential	:
Telephone Number	:	806-894-2228

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	08/21/2020

Similar Medicare Providers

1518997386 — HOCKLEY COUNTY SENIOR CITIZENS ASSOCIATION, INC
Practice Location Address:

1202 HOUSTON ST
LEVELLAND, TX
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Practice Phone: 806-894-2228
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1578557898 — DR. JOHN ROBERT SLIDER OD
Practice Location Address:

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1235125006 — LYNWOOD NURSING AND REHABILITATION LP
Practice Location Address:

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1801884846 — HARRY TALMADGE WEAVER JR. MD
Practice Location Address:

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Directions to “HOCKLEY COUNTY SENIOR CITIZENS ” Practice Location

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