Provider Demographics
NPI:1013243294
Name:BARRON COUNTY OFFICE ON AGING
Entity Type:Organization
Organization Name:BARRON COUNTY OFFICE ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-537-6225
Mailing Address - Street 1:335 E. MONROE AVENUE
Mailing Address - Street 2:ROOM 112
Mailing Address - City:BARRON
Mailing Address - State:WI
Mailing Address - Zip Code:54812-1478
Mailing Address - Country:US
Mailing Address - Phone:715-537-6225
Mailing Address - Fax:715-537-6851
Practice Address - Street 1:335 E. MONROE AVENUE
Practice Address - Street 2:ROOM 112
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812-1478
Practice Address - Country:US
Practice Address - Phone:715-537-6225
Practice Address - Fax:715-537-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site