# GIBSON COUNTY OFFICE ON AGING

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

## Provider details

- **NPI number:** 1770793275
- **Authorized official:** MS. CLARICE SMITH (DIRECTOR)
- **Authorized official phone:** (731) 742-2891

## Contact information

- **Practice address:** 168 EMAIN ST, BRADFORD, TN 38316
- **Practice address phone:** (731) 742-2891
- **Practice address fax:** (731) 742-3028
- **Mailing address:** 168 EAST MAIN ST, PO BOX 190, BRADFORD, TN 38316
- **Mailing address phone:** (731) 742-2891
- **Mailing address fax:** (731) 742-3028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | L4380666259 | TN | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020