Provider Demographics
NPI:1851865836
Name:TANGIPAHOA VOLUNTARY COUNCIL ON AGING
Entity Type:Organization
Organization Name:TANGIPAHOA VOLUNTARY COUNCIL ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:JUVE
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-748-7486
Mailing Address - Street 1:106 N BAY ST
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-2552
Mailing Address - Country:US
Mailing Address - Phone:985-748-7486
Mailing Address - Fax:985-748-3199
Practice Address - Street 1:106 N BAY ST
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2552
Practice Address - Country:US
Practice Address - Phone:985-748-7486
Practice Address - Fax:985-748-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)