Healthcare Provider Details

I. General information

NPI: 1013163666
Provider Name (Legal Business Name): ST HELENA COUNCIL ON AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 KENDRICK SUITE 201
GREENSBURG LA
70441
US

IV. Provider business mailing address

P.O BOX 324
GREENSBURG LA
70441-0324
US

V. Phone/Fax

Practice location:
  • Phone: 225-222-6070
  • Fax: 225-222-4924
Mailing address:
  • Phone: 225-222-6070
  • Fax: 225-222-4924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES H ROBB III
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 225-222-6070