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Organization
SENIOR CITIZENS COUNCIL-MADISON CO.
Active
Organization
SENIOR CITIZENS COUNCIL-MADISON CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA RICHARDSON (EXECUTIVE DIRECTOR)
(850) 973-4241
Entity
Organization
Contact information
Practice address
1161 SW HARVEY GREENE DR, MADISON, FL 32340-4508
(850) 973-4241
(850) 973-4292
Mailing address
PO BOX 204, MADISON, FL 32341-0204
(850) 973-4241
(850) 973-4292
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685703500
—
FL
Enumeration date
12/15/2010
Last updated
12/15/2010
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