Provider Demographics
NPI:1235630237
Name:WINSLOW COUNCIL ON AGING
Entity Type:Organization
Organization Name:WINSLOW COUNCIL ON AGING
Other - Org Name:WINSLOW SENIOR CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-289-3341
Mailing Address - Street 1:212 E SECOND ST
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:AZ
Mailing Address - Zip Code:86047-3841
Mailing Address - Country:US
Mailing Address - Phone:928-289-3341
Mailing Address - Fax:928-289-3341
Practice Address - Street 1:212 E SECOND ST
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:AZ
Practice Address - Zip Code:86047-3841
Practice Address - Country:US
Practice Address - Phone:928-289-3341
Practice Address - Fax:928-289-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-24
Last Update Date:2018-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals