Provider Demographics
NPI:1821176033
Name:RUSH COUNTY SENIOR CITIZENS SERVICES, INC.
Entity Type:Organization
Organization Name:RUSH COUNTY SENIOR CITIZENS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-932-2935
Mailing Address - Street 1:504 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46173-1719
Mailing Address - Country:US
Mailing Address - Phone:765-932-2935
Mailing Address - Fax:765-932-2936
Practice Address - Street 1:504 W 3RD ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173-1719
Practice Address - Country:US
Practice Address - Phone:765-932-2935
Practice Address - Fax:765-932-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable