| Jefferson City Senior Center | |
|
1413 Russell Ave Jefferson City TN 37760-2562 | |
| (865) 471-0314 | |
| Not Available |
| Full Name | Jefferson City Senior Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1413 Russell Ave, Jefferson City, Tennessee |
| Authorized Official Name and Position | Brenda Ellis (PRIVACY OFFICER) |
| Authorized Official Contact | 8655492121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson City Senior Center 1413 Russell Ave Jefferson City TN 37760-2562 Ph: () - | Jefferson City Senior Center 1413 Russell Ave Jefferson City TN 37760-2562 Ph: (865) 471-0314 |
| NPI Number | 1851364186 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851364186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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