Provider Demographics
NPI:1376902791
Name:COUNTY OF AVERY
Entity Type:Organization
Organization Name:COUNTY OF AVERY
Other - Org Name:AVERY COUNTY SENIOR SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR SERVICES EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-733-8222
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657
Mailing Address - Country:US
Mailing Address - Phone:828-733-8220
Mailing Address - Fax:828-733-8279
Practice Address - Street 1:165 SHULTZ CIRCLE
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657
Practice Address - Country:US
Practice Address - Phone:828-733-8220
Practice Address - Fax:828-733-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals