Provider Demographics
NPI:1184846057
Name:WHITE COUNTY AGING PROGRAM
Entity Type:Organization
Organization Name:WHITE COUNTY AGING PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-268-2587
Mailing Address - Street 1:2200 E MOORE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4718
Mailing Address - Country:US
Mailing Address - Phone:501-268-2587
Mailing Address - Fax:501-278-4819
Practice Address - Street 1:2200 E MOORE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4718
Practice Address - Country:US
Practice Address - Phone:501-268-2587
Practice Address - Fax:501-278-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR90-192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health