Provider Demographics
NPI:1073903761
Name:WHATCOM COUNTY COUNCIL ON AGING
Entity Type:Organization
Organization Name:WHATCOM COUNTY COUNCIL ON AGING
Other - Org Name:WHTACOM COUNCIL ON AGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NUTRITION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:360-733-4030
Mailing Address - Street 1:315 HALLECK ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4013
Mailing Address - Country:US
Mailing Address - Phone:360-733-4030
Mailing Address - Fax:360-647-7952
Practice Address - Street 1:315 HALLECK ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4013
Practice Address - Country:US
Practice Address - Phone:360-733-4030
Practice Address - Fax:360-647-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600436197251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable