# GULF COUNTY SENIOR CITIZENS ASSOCIATION, INC

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

## Provider details

- **NPI number:** 1194082917
- **Authorized official:** MR. RUSSELL SCHOLZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 229-8466

## Contact information

- **Practice address:** 120 LIBRARY DR, PORT ST JOE, FL 32456-1650
- **Practice address phone:** (850) 229-8466
- **Practice address fax:** (850) 227-1877
- **Mailing address:** 120 LIBRARY DR, PORT ST JOE, FL 32456-1650
- **Mailing address phone:** (850) 229-8466
- **Mailing address fax:** (850) 227-1877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 5895 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 04/18/2012