Organization
AGING AHEAD
Active
Other names
Mid-East Area Agency on Aging
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M KNOLL (CHIEF EXECUTIVE OFFICER)
(636) 207-0847
Entity
Organization
Contact information
Practice address
14535 MANCHESTER ROAD, MANCHESTER, MO 63011
(636) 207-0847
(636) 207-1329
Mailing address
14535 MANCHESTER ROAD, MANCHESTER, MO 63011
(636) 207-0847
(636) 207-1329
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284645611
—
MO
Enumeration date
03/22/2007
Last updated
11/08/2023
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