Provider Demographics
NPI:1346305448
Name:AREA FOUR SENIOR CITIZENS PLANNING COUNCIL INC.
Entity Type:Organization
Organization Name:AREA FOUR SENIOR CITIZENS PLANNING COUNCIL INC.
Other - Org Name:AREA IV SENIOR NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:PESEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-229-4741
Mailing Address - Street 1:405 8TH AVE NW
Mailing Address - Street 2:SUITE 203A, AREA IV SENIOR NUTRITION
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2762
Mailing Address - Country:US
Mailing Address - Phone:605-229-4741
Mailing Address - Fax:605-229-4741
Practice Address - Street 1:405 8TH AVE NW
Practice Address - Street 2:SUITE 203A, AREA IV SENIOR NUTRITION
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2762
Practice Address - Country:US
Practice Address - Phone:605-229-4741
Practice Address - Fax:605-229-4741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0141133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty