Healthcare Provider Details

I. General information

NPI: 1437666062
Provider Name (Legal Business Name): AREA AGENCY ON AGING OF SOMERSET COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 SOUTH EDGEWOOD AVENUE
SOMERSET PA
15501
US

IV. Provider business mailing address

1338 SOUTH EDGEWOOD AVENUE
SOMERSET PA
15501
US

V. Phone/Fax

Practice location:
  • Phone: 814-443-2681
  • Fax: 814-445-4398
Mailing address:
  • Phone: 814-443-2681
  • Fax: 814-445-4398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELAINE LAHM
Title or Position: ADMINISTRATOR
Credential:
Phone: 814-443-2681