Provider Demographics
NPI:1306055488
Name:YORK COUNTY COUNCIL ON AGING, INC.
Entity type:Organization
Organization Name:YORK COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:P
Authorized Official - Last Name:DUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-327-6694
Mailing Address - Street 1:PO BOX 11519
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29731-1519
Mailing Address - Country:US
Mailing Address - Phone:803-327-6694
Mailing Address - Fax:803-327-5210
Practice Address - Street 1:917 STANDARD ST.
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:803-327-6694
Practice Address - Fax:803-327-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCT0021Medicaid