Jefferson City Senior Center
NPI #1851364186 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1851364186
- Entity Type
- Organization
- Organization Name
- Jefferson City Senior Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1413 RUSSELL AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2562
- Phone
- (865) 471-0314
Authorized Official
- Name
- BRENDA ELLIS, RHIT
- Title
- PRIVACY OFFICER
- Phone
- (865) 549-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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