Provider Demographics
NPI:1508924846
Name:CLEARFIELD COUNTY AREA AGENCY ON AGING, INC.
Entity Type:Organization
Organization Name:CLEARFIELD COUNTY AREA AGENCY ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:F
Authorized Official - Last Name:GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-765-2696
Mailing Address - Street 1:103 NORTH FRONT STREET
Mailing Address - Street 2:PO BOX 550
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-0550
Mailing Address - Country:US
Mailing Address - Phone:814-765-2696
Mailing Address - Fax:814-765-2760
Practice Address - Street 1:103 NORTH FRONT STREET
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-0550
Practice Address - Country:US
Practice Address - Phone:814-765-2696
Practice Address - Fax:814-765-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals