Provider Demographics
NPI:1104664259
Name:OHIO DISTRICT 5 AREA AGENCY ON AGING
Entity type:Organization
Organization Name:OHIO DISTRICT 5 AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUANA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:419-564-3868
Mailing Address - Street 1:2131 PARK AVE W
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-1226
Mailing Address - Country:US
Mailing Address - Phone:419-524-4144
Mailing Address - Fax:419-522-9482
Practice Address - Street 1:2131 PARK AVE W
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1226
Practice Address - Country:US
Practice Address - Phone:419-524-4144
Practice Address - Fax:419-522-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare