Organization
JACKSON COUNTY SENIOR CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN D RHYNES (EXECUTIVE DIRECTOR)
(850) 263-4650
Entity
Organization
Contact information
Practice address
5400 CLIFF ST, GRACEVILLE, FL 32440-1732
(850) 263-4650
(850) 263-4136
Mailing address
5400 CLIFF ST, GRACEVILLE, FL 32440-1732
(850) 263-4650
(850) 263-4136
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023874500
—
FL
Enumeration date
06/26/2007
Last updated
12/11/2024
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