Provider Demographics
NPI:1497078307
Name:BRANCH-ST JOSEPH AREA AGENCY ON AGING
Entity Type:Organization
Organization Name:BRANCH-ST JOSEPH AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-279-9561
Mailing Address - Street 1:570 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-8262
Mailing Address - Country:US
Mailing Address - Phone:517-278-2538
Mailing Address - Fax:517-278-2494
Practice Address - Street 1:570 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-8262
Practice Address - Country:US
Practice Address - Phone:517-278-2538
Practice Address - Fax:517-278-2494
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management