Organization
MILESTONES AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LYNN JAEGERS (FISCAL DIRECTOR)
(641) 682-2270
Entity
Organization
Contact information
Practice address
117 N COOPER AVE, SUITE 2, OTTUMWA, IA 52501-3322
(641) 682-2270
(641) 682-2445
Mailing address
935 E 53RD ST, DAVENPORT, IA 52807-2633
(641) 682-2270
(641) 682-2445
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107862
—
IA
Enumeration date
02/01/2007
Last updated
12/05/2018
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