Provider Demographics
NPI:1396295770
Name:SHENANDOAH AREA AGENCY ON AGING
Entity type:Organization
Organization Name:SHENANDOAH AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:540-551-5612
Mailing Address - Street 1:207 MOSBY LN
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3029
Mailing Address - Country:US
Mailing Address - Phone:540-635-7141
Mailing Address - Fax:
Practice Address - Street 1:207 MOSBY LN
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3029
Practice Address - Country:US
Practice Address - Phone:540-635-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care