# SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.

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

## Provider details

- **NPI number:** 1598022469
- **Authorized official:** MS. ROSA RICHARDSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 973-4241

## Contact information

- **Practice address:** 1161 SW HARVEY GREENE DR, MADISON, FL 32340-4508
- **Practice address phone:** (850) 973-4241
- **Practice address fax:** (850) 973-4292
- **Mailing address:** PO BOX 204, MADISON, FL 32341-0204
- **Mailing address phone:** (850) 973-4241
- **Mailing address fax:** (850) 973-4292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 14945 | FL | Yes |
| 302F00000X | Exclusive Provider Organization | 14945 | FL | — |

## Other

- **Enumeration date:** 04/17/2012
- **Last updated:** 04/17/2012