# JEFFERSON SENIOR CITIZEN'S CENTER, INC.

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

## Provider details

- **NPI number:** 1629182142
- **Authorized official:** MRS. MAZIE GLENN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 342-0242

## Contact information

- **Practice address:** 1155 N JEFFERSON ST, MONTICELLO, FL 32344-2246
- **Practice address phone:** (850) 342-0242
- **Practice address fax:** (850) 342-0630
- **Mailing address:** 1155 N JEFFERSON ST, MONTICELLO, FL 32344-2246
- **Mailing address phone:** (850) 342-0242
- **Mailing address fax:** (850) 342-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 5986 | FL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 09/13/2023