Provider Demographics
NPI:1437331410
Name:INTERFAITH OLDER ADULT SERVICES, INC
Entity Type:Organization
Organization Name:INTERFAITH OLDER ADULT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-291-7500
Mailing Address - Street 1:600 W VIRGINIA ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1500
Mailing Address - Country:US
Mailing Address - Phone:414-291-7500
Mailing Address - Fax:414-291-7510
Practice Address - Street 1:600 W VIRGINIA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1500
Practice Address - Country:US
Practice Address - Phone:414-291-7500
Practice Address - Fax:414-291-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management