Ashtabula Co. Council on Aging, Inc.

Organization Active NPI Home Modifications Contractor · Ashtabula, OH

NPI 1104046978 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104046978
Entity type
Organization (NPI type 2)
Primary specialty
Home Modifications Contractor 171WH0202X
Legal business name
ASHTABULA CO. COUNCIL ON AGING, INC.
Practice address
4632 Main Ave
Ashtabula, OH 44004-6927
Phone
(440) 998-6750
Fax
(440) 998-1640
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

Name
Mr. Troy Bailey
Title
Executive Director
Phone
(440) 998-6750

National Provider Directory

Locations

4632 Main Ave
Ashtabula, OH 44004
Phone (440) 998-6750

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor
Group: 193400000X SINGLE SPECIALTY GROUP
171WH0202X Yes

Addresses

Primary practice location

4632 Main Ave
Ashtabula, OH 44004-6927

Mailing address

4632 Main Ave
Ashtabula, OH 44004-6927
Phone (440) 998-6750

Other providers in Ashtabula, OH

All providers in Ashtabula, OH · Home Modifications Contractor in Ohio

Sources for this page

Verify at the official NPI Registry.