Provider Demographics
NPI:1073715629
Name:MADISON COUNTY ELDERLY SERVICES
Entity Type:Organization
Organization Name:MADISON COUNTY ELDERLY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAREE
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-462-1334
Mailing Address - Street 1:1006 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-1233
Mailing Address - Country:US
Mailing Address - Phone:515-462-1334
Mailing Address - Fax:515-462-1357
Practice Address - Street 1:1006 N 1ST ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-1233
Practice Address - Country:US
Practice Address - Phone:515-462-1334
Practice Address - Fax:515-462-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA133NN1002X, 347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
Not Answered347B00000XTransportation ServicesBus