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NPI Code Detail

MEDICARE: VALLEY AREA AGENCY ON AGING

MEDICARE: VALLEY AREA AGENCY ON AGING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629212766
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY AREA AGENCY ON AGING
Provider Business Mailing Address
First Line : 225 E 5TH ST
Second Line :
City : FLINT
State : MI
Zip : 48502-1641
Country : US
Telephone Number : 810-239-7671
Fax Number : 810-239-8869
Provider Business Practice Location Address
First Line : 225 E 5TH ST
Second Line :
City : FLINT
State : MI
Zip : 48502-1641
Country : US
Telephone Number : 810-239-7671
Fax Number : 810-239-8869
Authorized Official
Title or Position : CIO
Name : MR. KAZ GOLDYN
Credential :
Telephone Number : 810-239-7671
Provider Enumeration Date : 04/20/2009
Last Update Date : 04/20/2009

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Practice Location Address:
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Directions to “VALLEY AREA AGENCY ON AGING ” Practice Location

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