Provider Demographics
NPI:1952732794
Name:AREA AGENCY ON AGING SERVING NAPA SOLANO-MSSP
Entity Type:Organization
Organization Name:AREA AGENCY ON AGING SERVING NAPA SOLANO-MSSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSSP SITE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:707-644-6612
Mailing Address - Street 1:PO BOX 3069
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-0680
Mailing Address - Country:US
Mailing Address - Phone:707-644-6612
Mailing Address - Fax:707-644-7905
Practice Address - Street 1:400 CONTRA COSTA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6352
Practice Address - Country:US
Practice Address - Phone:707-644-6612
Practice Address - Fax:707-644-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management