Provider Demographics
NPI:1588061063
Name:ANGELINA COUNTY SENIOR CITIZENS ACTIVITIES INC
Entity type:Organization
Organization Name:ANGELINA COUNTY SENIOR CITIZENS ACTIVITIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-634-4179
Mailing Address - Street 1:PO BOX 389
Mailing Address - Street 2:2801 VALLEY AVENUE
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75902-0389
Mailing Address - Country:US
Mailing Address - Phone:936-634-4179
Mailing Address - Fax:936-634-7966
Practice Address - Street 1:2801 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-5872
Practice Address - Country:US
Practice Address - Phone:936-634-4179
Practice Address - Fax:936-634-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals