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Organization
SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.
Active
Organization
SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.
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
14945
FL
302F00000X
Exclusive Provider Organization
14945
FL
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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