Provider Demographics
NPI:1720114663
Name:MIDDLE FLINT AREA COUNCIL ON AGING INC.
Entity Type:Organization
Organization Name:MIDDLE FLINT AREA COUNCIL ON AGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-928-2126
Mailing Address - Street 1:140 GA HIGHWAY 27 E
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5200
Mailing Address - Country:US
Mailing Address - Phone:229-928-2126
Mailing Address - Fax:229-924-0304
Practice Address - Street 1:140 GA HIGHWAY 27 E
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5200
Practice Address - Country:US
Practice Address - Phone:229-928-2126
Practice Address - Fax:229-924-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals