# AREA 12 AGENCY ON AGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609206846
- **Authorized official:** PAULINE WHITE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (209) 532-6272

## Contact information

- **Practice address:** 19074 STANDARD RD STE A, SONORA, CA 95370-7542
- **Practice address phone:** (209) 532-6272
- **Practice address fax:** (209) 532-6501
- **Mailing address:** 19074 STANDARD RD., SUITE A, SONORA, CA 95370
- **Mailing address phone:** (209) 532-6272
- **Mailing address fax:** (209) 532-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 11/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MSS00032F | — | CA |