| Organization Name: | OMEGA GERIATRICS CO. INC |
| NPI Number: | 1104839752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY JEAN RYBA (LCSW) |
| Mailing Address: | 55 Kaibab Way Sedona |
| State: | AZ US |
| Postal Code: | 863517335 |
| Phone Number: | 9283004362 |
| Fax Number: | 9282841721 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 10/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-12084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |