Provider Demographics
NPI:1306360730
Name:CAYUGA COUNTY OFFICE FOR AGING
Entity Type:Organization
Organization Name:CAYUGA COUNTY OFFICE FOR AGING
Other - Org Name:CAYUGA COUNTY OFFICE FOR AGING
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:315-253-1434
Mailing Address - Street 1:160 GENESEE STREET
Mailing Address - Street 2:BASEMENT
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021
Mailing Address - Country:US
Mailing Address - Phone:315-253-1226
Mailing Address - Fax:
Practice Address - Street 1:160 GENESEE ST BSMT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3424
Practice Address - Country:US
Practice Address - Phone:315-253-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAYUGA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals