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Organization

COORDINATED AGING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANN WILLIAMS (EXECUTIVE DIRECTOR)
(765) 342-3007
Entity
Organization

Contact information

Practice address
1390 E COLUMBUS ST, MARTINSVILLE, IN 46151-1711
(765) 342-3007
(765) 342-3712
Mailing address
1390 E COLUMBUS ST, MARTINSVILLE, IN 46151-1711
(765) 342-3007
(765) 342-3712

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
351641972
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100086950
IN
Enumeration date
05/31/2006
Last updated
08/08/2008
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