Provider Demographics
NPI:1942347000
Name:WAYNE COUNTY SENIOR CITIZENS
Entity Type:Organization
Organization Name:WAYNE COUNTY SENIOR CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALEIGH
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-722-3514
Mailing Address - Street 1:PO BOX 775
Mailing Address - Street 2:202 FAIRLANE DRIVE
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-0775
Mailing Address - Country:US
Mailing Address - Phone:931-722-3514
Mailing Address - Fax:931-722-7809
Practice Address - Street 1:202 FAIRLANE DRIVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-0775
Practice Address - Country:US
Practice Address - Phone:931-722-3514
Practice Address - Fax:931-722-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker