| Organization Name: | IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION |
| NPI Number: | 1912254574 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY LEWIS (DIRECTOR OF HEALTH SERVICES) |
| Mailing Address: | 10777 County Road 107 Proctorville |
| State: | OH US |
| Postal Code: | 456698130 |
| Phone Number: | 7403020541 |
| Fax Number: | 7408860255 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |