Provider Demographics
NPI:1295832517
Name:SAN JUAN COUNTY
Entity Type:Organization
Organization Name:SAN JUAN COUNTY
Other - Org Name:AREA AGENCY ON AGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY COMMISSION CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-587-3225
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:UT
Mailing Address - Zip Code:84535-0009
Mailing Address - Country:US
Mailing Address - Phone:435-587-3225
Mailing Address - Fax:435-587-2447
Practice Address - Street 1:117 S MAIN STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:MONTICELLO
Practice Address - State:UT
Practice Address - Zip Code:84535-0009
Practice Address - Country:US
Practice Address - Phone:435-587-3225
Practice Address - Fax:435-587-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management