Provider Demographics
NPI:1922418151
Name:BARRY COUNTY COMMISSION ON AGING
Entity Type:Organization
Organization Name:BARRY COUNTY COMMISSION ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PENNINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-948-4856
Mailing Address - Street 1:320 W WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49058-1035
Mailing Address - Country:US
Mailing Address - Phone:269-948-4856
Mailing Address - Fax:269-948-3336
Practice Address - Street 1:320 W WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MI
Practice Address - Zip Code:49058-1035
Practice Address - Country:US
Practice Address - Phone:269-948-4856
Practice Address - Fax:269-948-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health