Provider Demographics
NPI:1386838357
Name:HENDERSON COUNTY COUNCIL ON AGING, INC.
Entity Type:Organization
Organization Name:HENDERSON COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEVERAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-692-4203
Mailing Address - Street 1:105 KING CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4846
Mailing Address - Country:US
Mailing Address - Phone:828-692-4203
Mailing Address - Fax:828-697-4357
Practice Address - Street 1:105 KING CREEK BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4846
Practice Address - Country:US
Practice Address - Phone:828-692-4203
Practice Address - Fax:828-697-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty