Provider Demographics
NPI:1770873663
Name:AREA AGENCY ON AGING
Entity type:Organization
Organization Name:AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MATURA
Authorized Official - Suffix:
Authorized Official - Credentials:MHS,CRC,LPC,LSW
Authorized Official - Phone:800-582-7277
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:OH
Mailing Address - Zip Code:45674-0500
Mailing Address - Country:US
Mailing Address - Phone:800-582-7277
Mailing Address - Fax:740-245-9148
Practice Address - Street 1:160 DORSEY DRIVE
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:OH
Practice Address - Zip Code:45674-0500
Practice Address - Country:US
Practice Address - Phone:800-582-7277
Practice Address - Fax:740-245-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management