Provider Demographics
NPI:1770992729
Name:BROOME COUNTY OFFICE FOR AGING
Entity type:Organization
Organization Name:BROOME COUNTY OFFICE FOR AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:607-778-2411
Mailing Address - Street 1:60 HAWLEY ST
Mailing Address - Street 2:P.O. BOX 1766
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-3708
Mailing Address - Country:US
Mailing Address - Phone:607-778-2411
Mailing Address - Fax:607-778-2316
Practice Address - Street 1:60 HAWLEY ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-3708
Practice Address - Country:US
Practice Address - Phone:607-778-2411
Practice Address - Fax:607-778-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals