Provider Demographics
NPI:1023244647
Name:AUGLAIZE COUNTY COUNCIL ON AGING, INC.
Entity type:Organization
Organization Name:AUGLAIZE COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-394-8252
Mailing Address - Street 1:610 INDIANA AVENUE
Mailing Address - Street 2:P.O. BOX 215
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-1671
Mailing Address - Country:US
Mailing Address - Phone:419-394-8252
Mailing Address - Fax:419-394-4217
Practice Address - Street 1:610 INDIANA AVENUE
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-1671
Practice Address - Country:US
Practice Address - Phone:419-394-8252
Practice Address - Fax:419-394-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable