Organization
BAY COUNTY COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH N. COULLIETTE (EXECUTIVE DIRECTOR)
(850) 769-3468
Entity
Organization
Contact information
Practice address
1116 FRANKFORD AVE, PANAMA CITY, FL 32401-1861
(850) 769-3468
(850) 872-2151
Mailing address
1116 FRANKFORD AVE, PANAMA CITY, FL 32401-1861
(850) 769-3468
(850) 872-2151
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098851100
—
FL
Enumeration date
07/12/2013
Last updated
07/12/2013
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