Provider Demographics
NPI:1053686022
Name:HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY
Entity type:Organization
Organization Name:HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOODBANK OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SQUIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-385-6813
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:3 CARDARAS DRIVE
Mailing Address - City:GLOUSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45732
Mailing Address - Country:US
Mailing Address - Phone:740-767-4500
Mailing Address - Fax:740-767-1093
Practice Address - Street 1:3 CARDARAS DR
Practice Address - Street 2:
Practice Address - City:GLOUSTER
Practice Address - State:OH
Practice Address - Zip Code:45732-8011
Practice Address - Country:US
Practice Address - Phone:740-767-4500
Practice Address - Fax:740-767-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174200000X
OH071944252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No252Y00000XAgenciesEarly Intervention Provider Agency