| Organization Name: | COMMUNITY ACTION COMMISSION OF FAYETTE COUNTY |
| NPI Number: | 1154488187 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK M. HAGERTY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1351 Leesburg Ave Suite 100 Washington Court House |
| State: | OH US |
| Postal Code: | 431608610 |
| Phone Number: | 7403334411 |
| Fax Number: | 7403330110 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |