Provider Demographics
NPI:1265856777
Name:MEDINA COUNTY OFFICE FOR OLDER ADULTS
Entity Type:Organization
Organization Name:MEDINA COUNTY OFFICE FOR OLDER ADULTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:330-723-9514
Mailing Address - Street 1:246 NORTHLAND DR
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3441
Mailing Address - Country:US
Mailing Address - Phone:330-723-9514
Mailing Address - Fax:330-723-9506
Practice Address - Street 1:246 NORTHLAND DR
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3441
Practice Address - Country:US
Practice Address - Phone:330-723-9514
Practice Address - Fax:330-723-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals