Organization
ELDERBRIDGE AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAHOMA COUNTS (DIRECTOR)
(641) 424-0678
Entity
Organization
Contact information
Practice address
22 N GEORGIA AVE, SUITE 216, MASON CITY, IA 50401-3435
(641) 424-0678
Mailing address
22 N GEORGIA AVE, SUITE 216, MASON CITY, IA 50401-3435
(641) 424-0678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133215
—
IA
Enumeration date
01/16/2007
Last updated
08/22/2020
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