Organization
WAYNE COUNTY SENIOR CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALEIGH FAYE BREWER (DIRECTOR)
(931) 722-3514
Entity
Organization
Contact information
Practice address
202 FAIRLANE DRIVE, WAYNESBORO, TN 38485-0775
(931) 722-3514
(931) 722-7809
Mailing address
PO BOX 775, 202 FAIRLANE DRIVE, WAYNESBORO, TN 38485-0775
(931) 722-3514
(931) 722-7809
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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