Provider Demographics
NPI:1427455914
Name:JEFFERSON COUNTY AREA AGENCY ON AGING
Entity type:Organization
Organization Name:JEFFERSON COUNTY AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANEE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:UPLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-849-3096
Mailing Address - Street 1:186 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-0806
Mailing Address - Country:US
Mailing Address - Phone:814-849-3096
Mailing Address - Fax:814-849-4655
Practice Address - Street 1:186 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15851-0806
Practice Address - Country:US
Practice Address - Phone:814-849-3096
Practice Address - Fax:814-849-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management