Provider Demographics
NPI:1902340383
Name:AREA AGENCY ON AGING REGION 9 INC
Entity Type:Organization
Organization Name:AREA AGENCY ON AGING REGION 9 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ENDLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1800-945-4250
Mailing Address - Street 1:1730 SOUTHGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-3024
Mailing Address - Country:US
Mailing Address - Phone:180-094-5425
Mailing Address - Fax:740-439-0064
Practice Address - Street 1:1730 SOUTHGATE PKWY
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-3024
Practice Address - Country:US
Practice Address - Phone:180-094-5425
Practice Address - Fax:740-439-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management