Organization
PENINSULA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S MASSEY (CHIEF EXECUTIVE OFFICER)
(757) 873-0541
Entity
Organization
Contact information
Practice address
739 THIMBLE SHOALS BLVD, BUILDING 1000, STE 1006, NEWPORT NEWS, VA 23606-3562
(757) 873-0541
(757) 873-1437
Mailing address
739 THIMBLE SHOALS BLVD, BUILDING 1000, STE 1006, NEWPORT NEWS, VA 23606-3562
(757) 873-0541
(757) 873-1437
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155129973
API
VA
Enumeration date
08/25/2015
Last updated
08/25/2015
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