Organization
WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING, INC.
Active
Other names
Walton Okaloosa Council on Aging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAYNE BETTS (EXECUTIVE DIRECTOR)
(859) 892-8165
Entity
Organization
Contact information
Practice address
1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435-2308
(850) 892-8165
(850) 892-8169
Mailing address
1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435-2308
(850) 892-8165
(850) 892-8169
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024864900
—
FL
05
—
677320600
—
FL
Enumeration date
03/22/2007
Last updated
01/12/2023
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