Provider Demographics
NPI:1821304197
Name:LORAIN COUNTY COMMUNITY ACTION AGENCY
Entity Type:Organization
Organization Name:LORAIN COUNTY COMMUNITY ACTION AGENCY
Other - Org Name:LCCAA HEAD START
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:LOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-245-2009
Mailing Address - Street 1:506 BROADWAY
Mailing Address - Street 2:P.O. BOX 245
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-1732
Mailing Address - Country:US
Mailing Address - Phone:440-245-2009
Mailing Address - Fax:
Practice Address - Street 1:506 BROADWAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-1732
Practice Address - Country:US
Practice Address - Phone:440-245-2009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)