National Provider Identifier Database

AREA AGENCY ON AGING FOR THE COUNTIES OF BRADFORD SULLIVANSUSQUEHANN
Voluntary or Charitable


Contact Information

AREA AGENCY ON AGING FOR THE COUNTIES OF BRADFORD, SULLIVAN/SUSQUEHANN
220 MAIN ST
UNIT 2
TOWANDA, PA18848-1829
Phone: 570-265-6121
Fax: 571-265-5680
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for AREA AGENCY ON AGING FOR THE COUNTIES OF BRADFORD, SULLIVAN/SUSQUEHANN

NPI Number 1912302936
Legal business name
LBN
AREA AGENCY ON AGING FOR THE COUNTIES OF BRADFORD, SULLIVAN/SUSQUEHANN
Authorized official MARLEA HOYT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/03/2014
Last updated 11/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1024398040001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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