Organization
GULF COUNTY SENIOR CITIZENS ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL SCHOLZ (EXECUTIVE DIRECTOR)
(850) 229-8466
Entity
Organization
Contact information
Practice address
120 LIBRARY DR, PORT ST JOE, FL 32456-1650
(850) 229-8466
(850) 227-1877
Mailing address
120 LIBRARY DR, PORT ST JOE, FL 32456-1650
(850) 229-8466
(850) 227-1877
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670698300
—
FL
05
—
679633800
—
FL
Enumeration date
04/18/2012
Last updated
04/18/2012
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