Provider Demographics
NPI:1366558108
Name:JONES COUNTY AGING SERVICES
Entity type:Organization
Organization Name:JONES COUNTY AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGING SERVICES COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HARGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-823-2882
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:ANSON
Mailing Address - State:TX
Mailing Address - Zip Code:79501-0609
Mailing Address - Country:US
Mailing Address - Phone:325-823-2882
Mailing Address - Fax:325-823-3872
Practice Address - Street 1:1108 WEST COURT PLAZA
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501
Practice Address - Country:US
Practice Address - Phone:325-823-2882
Practice Address - Fax:325-823-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
000181200OtherPROVIDER
001013085OtherPROVIDER