Provider Demographics
NPI:1528309770
Name:MEALS ON WHEELS OF BULVERDE/SPRING BRANCH
Entity type:Organization
Organization Name:MEALS ON WHEELS OF BULVERDE/SPRING BRANCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-438-3111
Mailing Address - Street 1:30280 COUGAR BND
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-4562
Mailing Address - Country:US
Mailing Address - Phone:830-438-3111
Mailing Address - Fax:830-438-3144
Practice Address - Street 1:30280 COUGAR BND
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4562
Practice Address - Country:US
Practice Address - Phone:830-438-3111
Practice Address - Fax:830-438-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals