Provider Demographics
NPI:1063552057
Name:MCCAMEY SENIOR SERVICES INC.
Entity type:Organization
Organization Name:MCCAMEY SENIOR SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:QUISENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-652-8787
Mailing Address - Street 1:PO BOX 958
Mailing Address - Street 2:108 EAST 6TH
Mailing Address - City:MCCAMEY
Mailing Address - State:TX
Mailing Address - Zip Code:79752-0958
Mailing Address - Country:US
Mailing Address - Phone:432-652-8787
Mailing Address - Fax:432-652-3506
Practice Address - Street 1:108 EAST 6TH
Practice Address - Street 2:
Practice Address - City:MCCAMEY
Practice Address - State:TX
Practice Address - Zip Code:79752-0958
Practice Address - Country:US
Practice Address - Phone:432-652-8787
Practice Address - Fax:432-652-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals