Provider Demographics
NPI:1760919369
Name:AGING YOUR WAY, INC.
Entity Type:Organization
Organization Name:AGING YOUR WAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:610-935-2781
Mailing Address - Street 1:601 GAY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3852
Mailing Address - Country:US
Mailing Address - Phone:610-935-2781
Mailing Address - Fax:484-923-1196
Practice Address - Street 1:601 GAY ST STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3852
Practice Address - Country:US
Practice Address - Phone:610-935-2781
Practice Address - Fax:484-923-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029042430003Medicaid