Organization
LICKING COUNTY AGING PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA OWENS MBA (EXECUTIVE DIRECTOR)
(740) 345-0821
Entity
Organization
Contact information
Practice address
1058 E MAIN ST, NEWARK, OH 43055-6940
(740) 345-0821
Mailing address
1058 E MAIN ST, NEWARK, OH 43055-6940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808406
—
OH
Enumeration date
10/21/2010
Last updated
02/06/2023
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