Organization
JACKSON COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Active
Organization
JACKSON COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES HENDERSON (EXECUTIVE DIRECTOR)
(850) 526-7333
Entity
Organization
Contact information
Practice address
2973 PENNSYLVANIA AVE, MARIANNA, FL 32448-2713
(850) 526-7333
Mailing address
2973 PENNSYLVANIA AVE, MARIANNA, FL 32448-2713
(850) 526-7333
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F006
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
F006
FL
Other
Enumeration date
09/24/2007
Last updated
07/21/2022
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