Organization
JEFFERSON SENIOR CITIZEN'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAZIE GLENN (EXECUTIVE DIRECTOR)
(850) 342-0242
Entity
Organization
Contact information
Practice address
1155 N JEFFERSON ST, MONTICELLO, FL 32344-2246
(850) 342-0242
(850) 342-0630
Mailing address
1155 N JEFFERSON ST, MONTICELLO, FL 32344-2246
(850) 342-0242
(850) 342-0630
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
5986
FL
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024875402
—
FL
Enumeration date
08/19/2006
Last updated
09/13/2023
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