Provider Demographics
NPI:1013305911
Name:PERRY COUNTY AREA AGENCY ON AGING
Entity Type:Organization
Organization Name:PERRY COUNTY AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SHERIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:717-582-5130
Mailing Address - Street 1:2 W MAIN ST
Mailing Address - Street 2:PO BOX 725
Mailing Address - City:NEW BLOOMFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17068-9603
Mailing Address - Country:US
Mailing Address - Phone:717-582-5128
Mailing Address - Fax:717-582-5160
Practice Address - Street 1:2 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW BLOOMFIELD
Practice Address - State:PA
Practice Address - Zip Code:17068-9603
Practice Address - Country:US
Practice Address - Phone:717-582-5128
Practice Address - Fax:717-582-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management