Provider Demographics
NPI:1922416734
Name:TRUMBULL COUNTY OFFICE OF ELDERLY AFFAIRS
Entity Type:Organization
Organization Name:TRUMBULL COUNTY OFFICE OF ELDERLY AFFAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITION PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-675-2486
Mailing Address - Street 1:2959 YOUNGSTOWN RD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5260
Mailing Address - Country:US
Mailing Address - Phone:330-675-2486
Mailing Address - Fax:330-675-6633
Practice Address - Street 1:2959 YOUNGSTOWN RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5260
Practice Address - Country:US
Practice Address - Phone:330-675-2486
Practice Address - Fax:330-675-6633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUMBULL COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care