Provider Demographics
NPI:1093077083
Name:MIDDLETOWN AREA SENIOR CITIZENS, INC.
Entity Type:Organization
Organization Name:MIDDLETOWN AREA SENIOR CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAFO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-423-1158
Mailing Address - Street 1:3907 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5006
Mailing Address - Country:US
Mailing Address - Phone:513-423-1734
Mailing Address - Fax:513-423-4505
Practice Address - Street 1:3907 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5006
Practice Address - Country:US
Practice Address - Phone:513-423-1734
Practice Address - Fax:513-423-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251V00000XAgenciesVoluntary or Charitable