Provider Demographics
NPI:1497356331
Name:ALLEN COUNTY COUNCIL ON AGING, INC.
Entity Type:Organization
Organization Name:ALLEN COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:419-228-5135
Mailing Address - Street 1:700 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4012
Mailing Address - Country:US
Mailing Address - Phone:419-228-5135
Mailing Address - Fax:419-228-3812
Practice Address - Street 1:700 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4012
Practice Address - Country:US
Practice Address - Phone:419-228-5135
Practice Address - Fax:419-228-3812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care