Provider Demographics
NPI:1730707407
Name:AGING IN YOUR PLACE
Entity type:Organization
Organization Name:AGING IN YOUR PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:314-761-3800
Mailing Address - Street 1:10432 GARDO CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-3525
Mailing Address - Country:US
Mailing Address - Phone:314-761-3800
Mailing Address - Fax:314-384-9292
Practice Address - Street 1:10432 GARDO CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-3525
Practice Address - Country:US
Practice Address - Phone:314-761-3800
Practice Address - Fax:314-384-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health