Healthcare Provider Details

I. General information

NPI: 1407074354
Provider Name (Legal Business Name): WORCESTER COUNTY COMMISSION ON AGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4767 SNOW HILL ROAD
SNOW HILL MD
21863-4051
US

IV. Provider business mailing address

4767 SNOW HILL RD P.O. BOX 159
SNOW HILL MD
21863-4051
US

V. Phone/Fax

Practice location:
  • Phone: 410-632-1277
  • Fax: 410-632-2613
Mailing address:
  • Phone: 410-632-1277
  • Fax: 410-632-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SOLONIA REGINA HOBBS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 410-632-1277