Organization
ST JOHNS CO COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY YANNI (EXECUTIVE DIRECTOR)
(904) 209-3685
Entity
Organization
Contact information
Practice address
180 MARINE ST, ST AUGUSTINE, FL 32084-5153
(904) 209-3700
(904) 209-3663
Mailing address
180 MARINE ST, ST AUGUSTINE, FL 32084-5153
(904) 209-3700
(904) 209-3663
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
5857
FL
261QA0600X
Adult Day Care Clinic/Center
Primary
9004
FL
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024894101
—
FL
05
—
099507000
—
FL
05
—
099507001
—
FL
05
—
113734100
—
FL
05
—
689228100
—
FL
Enumeration date
12/19/2007
Last updated
08/02/2023
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