Provider Demographics
NPI:1780341552
Name:SOUTH CENTRAL NEBRASKA AREA AGENCY ON AGING
Entity type:Organization
Organization Name:SOUTH CENTRAL NEBRASKA AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-234-1851
Mailing Address - Street 1:620 E 25TH ST STE 12
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-5529
Mailing Address - Country:US
Mailing Address - Phone:308-234-1851
Mailing Address - Fax:
Practice Address - Street 1:620 E 25TH ST STE 12
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5529
Practice Address - Country:US
Practice Address - Phone:308-234-1851
Practice Address - Fax:308-234-1853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management