# WAKULLA COUNTY SENIOR CITIZENS COUNCIL, INC.

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

## Provider details

- **NPI number:** 1609117787
- **Authorized official:** MR. T.W. MAURICE LANGSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 926-7145

## Contact information

- **Practice address:** 33 MICHAEL DR, CRAWFORDVILLE, FL 32327-2070
- **Practice address phone:** (850) 926-7145
- **Practice address fax:** (850) 926-8138
- **Mailing address:** 33 MICHAEL DR, CRAWFORDVILLE, FL 32327-2070
- **Mailing address phone:** (850) 926-7145
- **Mailing address fax:** (850) 926-8138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 14936 | FL | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013