Provider Demographics
NPI:1811022254
Name:ALLEN COUNTY COUNCIL ON AGING, INC.
Entity Type:Organization
Organization Name:ALLEN COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-426-0060
Mailing Address - Street 1:233 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-1613
Mailing Address - Country:US
Mailing Address - Phone:260-426-0060
Mailing Address - Fax:260-426-0264
Practice Address - Street 1:233 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-1613
Practice Address - Country:US
Practice Address - Phone:260-426-0060
Practice Address - Fax:260-426-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty