Provider Demographics
NPI:1922389576
Name:COUNCIL ON AGING - ORANGE COUNTY
Entity Type:Organization
Organization Name:COUNCIL ON AGING - ORANGE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERONK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-479-0107
Mailing Address - Street 1:1971 E 4TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3917
Mailing Address - Country:US
Mailing Address - Phone:714-479-0107
Mailing Address - Fax:714-479-0234
Practice Address - Street 1:1971 E 4TH ST STE 200
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3917
Practice Address - Country:US
Practice Address - Phone:714-479-0107
Practice Address - Fax:714-479-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency