Provider Demographics
NPI:1184775843
Name:LANCASTER COUNTY COUNCIL ON AGING, INC
Entity type:Organization
Organization Name:LANCASTER COUNTY COUNCIL ON AGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-285-6956
Mailing Address - Street 1:309 S PLANTATION RD
Mailing Address - Street 2:P.O. BOX 1296
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-1870
Mailing Address - Country:US
Mailing Address - Phone:803-285-6956
Mailing Address - Fax:803-285-6958
Practice Address - Street 1:309 S PLANTATION RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-1870
Practice Address - Country:US
Practice Address - Phone:803-285-6956
Practice Address - Fax:803-285-6958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0036Medicaid