Organization Name: | ASHTABULA CO. COUNCIL ON AGING, INC. |
NPI Number: | 1104046978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY BAILEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 4632 Main Ave Ashtabula |
State: | OH US |
Postal Code: | 440046927 |
Phone Number: | 4409986750 |
Fax Number: | 4409981640 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |