Provider Demographics
NPI:1497452478
Name:PERRY COUNTY MULTI PURPOSE SENIOR CITIZENS CENTER
Entity Type:Organization
Organization Name:PERRY COUNTY MULTI PURPOSE SENIOR CITIZENS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-342-4264
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-0605
Mailing Address - Country:US
Mailing Address - Phone:740-342-4264
Mailing Address - Fax:740-342-5121
Practice Address - Street 1:520 1ST ST
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1416
Practice Address - Country:US
Practice Address - Phone:740-342-4264
Practice Address - Fax:740-342-4264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals