MEDICARE: SOUTH TEXAS SENIOR SERVICES, INC.

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	261QA0600X	Adult Day Care Clinic/Center	117278	TX

General Provider Information

NPI Number	:	1750446035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS SENIOR SERVICES, INC.

Provider Business Mailing Address
First Line	:	1420 N 17TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4087
Country	:	US
Telephone Number	:	361-592-3000
Fax Number	:	361-592-5888

Provider Business Practice Location Address
First Line	:	1420 N 17TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4087
Country	:	US
Telephone Number	:	361-592-3000
Fax Number	:	361-592-5888

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ARNOLDO C. BENAVIDES
Credential	:
Telephone Number	:	361-592-3000

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/22/2020

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