Provider Demographics
NPI:1023208469
Name:ADAMS COUNTY SENIOR CITIZENS COUNCIL, INC.
Entity Type:Organization
Organization Name:ADAMS COUNTY SENIOR CITIZENS COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-544-7156
Mailing Address - Street 1:215 N CROSS ST RM 102
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-1272
Mailing Address - Country:US
Mailing Address - Phone:937-544-7156
Mailing Address - Fax:
Practice Address - Street 1:215 N CROSS ST RM 102
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-1272
Practice Address - Country:US
Practice Address - Phone:937-544-7156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health