Provider Demographics
NPI:1629127022
Name:BROWN COUNTY SENIOR CITIZENS COUNCIL
Entity Type:Organization
Organization Name:BROWN COUNTY SENIOR CITIZENS COUNCIL
Other - Org Name:BROWN COUNTY SENIOR CITIZENS COUNCIL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-378-6603
Mailing Address - Street 1:505 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1029
Mailing Address - Country:US
Mailing Address - Phone:937-378-6603
Mailing Address - Fax:937-378-2560
Practice Address - Street 1:505 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1029
Practice Address - Country:US
Practice Address - Phone:937-378-6603
Practice Address - Fax:937-378-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH412682OtherPASSPORT
OH0800173OtherODMRDD