Organization
BIG SANDY AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HICKS (AGING PROGRAMS ASST.)
(606) 886-2374
Entity
Organization
Contact information
Practice address
110 RESOURCE CT, PRESTONSBURG, KY 41653-7851
(606) 886-2374
(606) 886-3382
Mailing address
110 RESOURCE CT, PRESTONSBURG, KY 41653-7851
(606) 886-2374
(606) 886-3382
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43996115
—
KY
Enumeration date
02/09/2007
Last updated
08/22/2020
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