Organization
BAY AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY VESLEY-MASSEY (PRESIDENT/CEO)
(804) 758-2386
Entity
Organization
Contact information
Practice address
5306 OLD VIRGINIA ST., URBANNA, VA 23175
(804) 758-2386
(804) 758-5773
Mailing address
PO BOX 610, URBANNA, VA 23175-0610
(804) 758-2386
(804) 758-5773
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087008261
—
VA
05
—
0087307333
—
VA
05
—
0087703283
—
VA
Enumeration date
02/07/2006
Last updated
01/03/2023
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