Provider Demographics
NPI:1336647809
Name:COUNTY OF BEAVER
Entity Type:Organization
Organization Name:COUNTY OF BEAVER
Other - Org Name:BEAVER COUNTY OFFICE ON AGING
Other - Org Type:Other Name
Authorized Official - Title/Position:COUNTY COMMISSIONER CHAIRPERSON
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-770-4400
Mailing Address - Street 1:1020 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010
Mailing Address - Country:US
Mailing Address - Phone:724-847-2262
Mailing Address - Fax:724-847-8271
Practice Address - Street 1:1020 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010
Practice Address - Country:US
Practice Address - Phone:724-847-2262
Practice Address - Fax:724-847-8271
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF BEAVER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management