NPI | 1679730824 |
---|---|
Doing Business As | (DBA) COUNCIL ON AGING OF CLAY COUNTY |
Entity Type | Organization |
Authorized Contact | ANDREW DECANDIS Executive Director 904-531-5020 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL 5666) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2015-01-26 |