Healthcare Provider Details

I. General information

NPI: 1295912095
Provider Name (Legal Business Name): SHENANDOAH AREA AGENCY ON AGING INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 MOSBY LN
FRONT ROYAL VA
22630-3029
US

IV. Provider business mailing address

207 MOSBY LN
FRONT ROYAL VA
22630-3029
US

V. Phone/Fax

Practice location:
  • Phone: 540-635-7141
  • Fax:
Mailing address:
  • Phone: 540-635-7141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. HELEN M COCKRELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 540-635-7141