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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