Provider Demographics
NPI:1801606934
Name:COMMUNITIES FOR DISABLED AMERICANS DOT ORG C-DAG
Entity type:Organization
Organization Name:COMMUNITIES FOR DISABLED AMERICANS DOT ORG C-DAG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:MCABEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-556-1173
Mailing Address - Street 1:125 MCCREA AVE
Mailing Address - Street 2:
Mailing Address - City:DENNISON
Mailing Address - State:OH
Mailing Address - Zip Code:44621-1649
Mailing Address - Country:US
Mailing Address - Phone:330-556-1173
Mailing Address - Fax:
Practice Address - Street 1:125 MCCREA AVE
Practice Address - Street 2:
Practice Address - City:DENNISON
Practice Address - State:OH
Practice Address - Zip Code:44621-1649
Practice Address - Country:US
Practice Address - Phone:330-556-1173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization