Organization
NORTHEAST FLORIDA AREA AGENCY ON AGING
Active
Organization
NORTHEAST FLORIDA AREA AGENCY ON AGING
Active
Other names
Eldersource
Organization subpart
No
Provider details
NPI number
Authorized official
JALYNNE SANTIAGO (DIRECTOR OF FINANCE)
(904) 391-6627
Entity
Organization
Contact information
Practice address
10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257-1004
(904) 391-6600
(904) 391-6601
Mailing address
10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257-1004
(904) 391-6600
(904) 391-6601
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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