# BAKER COUNTY COUNCIL ON AGING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184971053
- **Authorized official:** MRS. JACKIE R WRIGHT CEO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 259-2223

## Contact information

- **Practice address:** 101 E MACCLENNY AVE, MACCLENNY, FL 32063-2119
- **Practice address phone:** (904) 259-2223
- **Practice address fax:** (904) 259-6394
- **Mailing address:** 101 EAST MACCLENNY AVENUE, MACCLENNY, FL 32063-2119
- **Mailing address phone:** (904) 259-2223
- **Mailing address fax:** (904) 259-6394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 229256 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 08/10/2012
