Provider Demographics
NPI:1558830570
Name:TOWN OF WEST SPRINGFIELD
Entity Type:Organization
Organization Name:TOWN OF WEST SPRINGFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNCIL ON AGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-495-1803
Mailing Address - Street 1:128 PARK ST
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3315
Mailing Address - Country:US
Mailing Address - Phone:413-263-3264
Mailing Address - Fax:413-737-4750
Practice Address - Street 1:128 PARK ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3315
Practice Address - Country:US
Practice Address - Phone:413-263-3264
Practice Address - Fax:413-737-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals