Provider Demographics
NPI:1154511897
Name:UNITED SCIOTO SENIOR ACTIVITIES, INC.
Entity Type:Organization
Organization Name:UNITED SCIOTO SENIOR ACTIVITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE'
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-354-6672
Mailing Address - Street 1:117 -119 MARKET ST.
Mailing Address - Street 2:P. O. BOX 597
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662
Mailing Address - Country:US
Mailing Address - Phone:740-354-6672
Mailing Address - Fax:740-354-1891
Practice Address - Street 1:117-119 MARKET ST.
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-354-6672
Practice Address - Fax:740-354-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable