Provider Demographics
NPI:1376664086
Name:STARK COUNTY COUNCIL ON AGING
Entity Type:Organization
Organization Name:STARK COUNTY COUNCIL ON AGING
Other - Org Name:ELDER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIDGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-456-1818
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58602-0629
Mailing Address - Country:US
Mailing Address - Phone:701-456-1818
Mailing Address - Fax:701-456-1820
Practice Address - Street 1:220 W BROADWAY
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58602-0629
Practice Address - Country:US
Practice Address - Phone:701-456-1818
Practice Address - Fax:701-456-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus