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Organization

WASHINGTON COUNTY COUNCIL ON AGING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACEY LONG (EXECUTIVE DIRECTOR)
(850) 638-6217
Entity
Organization

Contact information

Practice address
1348 SOUTH BLVD, CHIPLEY, FL 32428-1846
(850) 638-6217
(850) 638-6363
Mailing address
1348 SOUTH BLVD, CHIPLEY, FL 32428-1846
(850) 638-6217
(850) 638-6363

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024869000
FL
Enumeration date
06/26/2007
Last updated
04/28/2023
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