Organization

Jefferson City Senior Center

Clinic/Center in Jefferson City, TN(View on Map)

Legal Business Name

Jefferson City Senior Center

NPI Number

1851364186

NPI Type

Organization

Enumeration Date

02/08/2006

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1413 RUSSELL AVE
1413 RUSSELL AVE

City

Jefferson City
Jefferson City

State

TN
TN

Postal Code

37760-2562
37760-2562

Country

US
US

Telephone Number

N/A
(865) 471-0314

Authorized Official

Name

Brenda Ellis

Title or Position

PRIVACY OFFICER

Telephone Number

(865) 549-2121

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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