Organization
SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA RICHARDSON (EXECUTIVE DIRECTOR)
(850) 973-4241
Entity
Organization
Contact information
Practice address
1161 SW HARVEY GREENE DR, MADISON, FL 32340-4508
(850) 973-4241
(850) 973-4292
Mailing address
PO BOX 204, MADISON, FL 32341-0204
(850) 973-4241
(850) 973-4292
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
14945
FL
302F00000X
Exclusive Provider Organization
14945
FL
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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