Provider Demographics
NPI:1770335234
Name:KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Entity type:Organization
Organization Name:KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-622-9801
Mailing Address - Street 1:201 BROWN'S LANE
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812
Mailing Address - Country:US
Mailing Address - Phone:740-622-4852
Mailing Address - Fax:740-623-0933
Practice Address - Street 1:201 BROWN'S LANE
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812
Practice Address - Country:US
Practice Address - Phone:740-622-4852
Practice Address - Fax:740-623-0933
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KNO-HO-CO-ASHLAND COMMUNITY ACTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals