# LIBERTY COUNTY SENIOR CITIZENS ASSOC. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty County Senior Citizens Assoc. Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396002358
- **Authorized official:** MRS. ANN KINCAID EXECUTIVE DIRECTOR (DIRECTOR)
- **Authorized official phone:** (850) 643-5613

## Contact information

- **Practice address:** 15629 NW COUNTY ROAD 12, POST OFFICE BOX 730, BRISTOL, FL 32321-3685
- **Practice address phone:** (850) 643-5613
- **Practice address fax:** (850) 643-5672
- **Mailing address:** PO BOX 730, BRISTOL, FL 32321-0730
- **Mailing address phone:** (850) 643-5613
- **Mailing address fax:** (850) 643-5672

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 04/16/2012