Organization
COUNCIL ON AGING OF ELKHART COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY S. FRIESEN (EXECUTIVE DIRECTOR)
(574) 295-1820
Entity
Organization
Contact information
Practice address
230 E JACKSON BLVD, ELKHART, IN 46516-3554
(574) 295-1820
(574) 294-5924
Mailing address
230 E JACKSON BLVD, ELKHART, IN 46516-3554
(574) 295-1820
(574) 294-5924
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200183290
—
IN
Enumeration date
05/21/2013
Last updated
05/21/2013
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