Provider Demographics
NPI:1447347695
Name:CONTRA COSTA COUNTY OFFICE ON AGING
Entity type:Organization
Organization Name:CONTRA COSTA COUNTY OFFICE ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR STAFF ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:BURDETTE
Authorized Official - Last Name:WILGUS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:925-335-8727
Mailing Address - Street 1:2530 ARNOLD DR
Mailing Address - Street 2:#300
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4359
Mailing Address - Country:US
Mailing Address - Phone:925-335-8727
Mailing Address - Fax:925-335-8738
Practice Address - Street 1:2530 ARNOLD DR
Practice Address - Street 2:#300
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4359
Practice Address - Country:US
Practice Address - Phone:925-335-8727
Practice Address - Fax:925-335-8738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5268251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management