Organization
GADSDEN SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY HANNIGON (EXECUTIVE DIRECTOR)
(850) 627-9758
Entity
Organization
Contact information
Practice address
79 LASALLE LEFALL DRIVE, QUINCY, FL 32351
(850) 627-9758
(850) 875-4524
Mailing address
79 LASALLE LEFFAL DRIVE, QUINCY, FL 32351
(850) 627-9785
(850) 875-4524
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
229305
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020827800
—
FL
Enumeration date
09/18/2007
Last updated
07/06/2017
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