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Organization

AREA AGENCY ON AGING FOR THE COUNTIES OF BRADFORD, SULLIVAN/SUSQUEHANN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLEA HOYT (EXECUTIVE DIRECTOR)
(570) 265-6121
Entity
Organization

Contact information

Practice address
220 MAIN ST, UNIT 2, TOWANDA, PA 18848-1829
(570) 265-6121
(571) 265-5680
Mailing address
220 MAIN ST, UNIT 2, TOWANDA, PA 18848-1829
(570) 265-6121
(570) 265-5680

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024398040001
PA
Enumeration date
11/03/2014
Last updated
11/03/2014
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