Organization
SENIORAGE AREA AGENCY ON AGING
Active
Organization
SENIORAGE AREA AGENCY ON AGING
Active
Parent organization
SENIORAGE AREA AGENCY ON AGING
Other names
Polk County Adult Day Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIORAGE AREA AGENCY ON AGING
Authorized official
STARR L KOHLER (EXECUTIVE DIRECTOR)
(417) 862-0762
Entity
Organization
Contact information
Practice address
1735 S FORT AVE, SPRINGFIELD, MO 65807-1204
(417) 862-0762
Mailing address
1735 S FORT AVE, SPRINGFIELD, MO 65807-1204
(417) 862-0762
(417) 865-2683
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279926109
—
MO
05
—
289926107
—
MO
Enumeration date
07/03/2007
Last updated
09/29/2020
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