Provider Demographics
NPI:1497940423
Name:ASHLAND COUNTY COUNCIL ON AGING
Entity Type:Organization
Organization Name:ASHLAND COUNTY COUNCIL ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DALENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-281-1477
Mailing Address - Street 1:240 EAST THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2405
Mailing Address - Country:US
Mailing Address - Phone:419-281-1477
Mailing Address - Fax:419-281-7871
Practice Address - Street 1:240 EAST THIRD STREET
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2405
Practice Address - Country:US
Practice Address - Phone:419-281-1477
Practice Address - Fax:419-281-7871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable