Provider Demographics
NPI:1093502858
Name:RAVENNA SENIOR CENTER INC
Entity type:Organization
Organization Name:RAVENNA SENIOR CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-452-3105
Mailing Address - Street 1:315 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:NE
Mailing Address - Zip Code:68869-1321
Mailing Address - Country:US
Mailing Address - Phone:308-452-3105
Mailing Address - Fax:
Practice Address - Street 1:315 GRAND AVE
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:NE
Practice Address - Zip Code:68869-1321
Practice Address - Country:US
Practice Address - Phone:308-452-3105
Practice Address - Fax:308-452-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care