NPI 1083748131

Area IV Agency on Aging and Community Action Programs, INC

Organisation Case Management Agency Lafayette, IN

Practice location

Address: 660 N 36th St, Lafayette, IN 47905-4474
Phone: (765) 447-7683

Authorised official

Name: Laura L Hale
Title: Medicaid Waiver Coordinator
Phone: (765) 447-7683

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1083748131
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.