Provider Demographics
NPI:1972736262
Name:ADAMS COUNTY COUNCIL FOR AGING, INC.
Entity Type:Organization
Organization Name:ADAMS COUNTY COUNCIL FOR AGING, INC.
Other - Org Name:ADAMS COUNTY COUNCIL ON AGING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:K
Authorized Official - Last Name:TESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-724-5316
Mailing Address - Street 1:313 W JEFFERSON ST RM 120
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-1656
Mailing Address - Country:US
Mailing Address - Phone:260-724-5316
Mailing Address - Fax:
Practice Address - Street 1:313 W JEFFERSON ST RM 120
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-1656
Practice Address - Country:US
Practice Address - Phone:260-724-5316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)