Organization Name: | AREA AGENCY ON AGING, REGION ONE, INCORPORATED |
NPI Number: | 1417143884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY LYNN KASUNIC (PRESIDENT & CEO) |
Mailing Address: | 1366 E Thomas Rd Ste 108 Phoenix |
State: | AZ US |
Postal Code: | 850145739 |
Phone Number: | 6022642255 |
Fax Number: | 6022309132 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |