| Organization Name: | BAKER COUNTY COUNCIL ON AGING, INC |
| NPI Number: | 1184971053 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKIE R WRIGHT (EXECUTIVE DIRECTOR) |
| Mailing Address: | 101 E Macclenny Ave Macclenny |
| State: | FL US |
| Postal Code: | 320632119 |
| Phone Number: | 9042592223 |
| Fax Number: | 9042596394 |
| NPI Enumeration Date: | 08/10/2012 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 229256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |