Provider Demographics
NPI:1144404609
Name:SENIOR CITIZENS OF LINCOLN COUNTY, INC.
Entity Type:Organization
Organization Name:SENIOR CITIZENS OF LINCOLN COUNTY, INC.
Other - Org Name:LIBBY SENIOR CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:COY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-293-7222
Mailing Address - Street 1:PO BOX 1401
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-1401
Mailing Address - Country:US
Mailing Address - Phone:406-293-7222
Mailing Address - Fax:406-293-2787
Practice Address - Street 1:206 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-2048
Practice Address - Country:US
Practice Address - Phone:406-293-7222
Practice Address - Fax:406-293-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable