Organization
CALHOUN COUNTY SENIOR CITIZENS ASSOC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN J RUSSELL (EXECUTIVE DIRECTOR)
(850) 674-4163
Entity
Organization
Contact information
Practice address
16859 NE CAYSON ST, BLOUNTSTOWN, FL 32424-2209
(850) 674-4163
(850) 674-8384
Mailing address
16859 NE CAYSON ST, BLOUNTSTOWN, FL 32424-2209
(850) 674-4163
(850) 674-8384
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098886300
—
FL
05
—
098886301
—
FL
Enumeration date
04/11/2011
Last updated
10/08/2014
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