Healthcare Provider Details

I. General information

NPI: 1265602106
Provider Name (Legal Business Name): AGING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1179 E MAIN ST
NORMAN OK
73071-5331
US

IV. Provider business mailing address

1179 E MAIN ST
NORMAN OK
73071-5331
US

V. Phone/Fax

Practice location:
  • Phone: 405-321-3200
  • Fax: 405-329-3141
Mailing address:
  • Phone: 405-321-3200
  • Fax: 405-329-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN WILSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-321-3200