MEDICARE: WASHINGTON COUNTY COUNCIL ON AGING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629274659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON COUNTY COUNCIL ON AGING, INC.

Provider Business Mailing Address
First Line	:	1348 SOUTH BLVD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-1846
Country	:	US
Telephone Number	:	850-638-6217
Fax Number	:	850-638-6363

Provider Business Practice Location Address
First Line	:	1348 SOUTH BLVD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-1846
Country	:	US
Telephone Number	:	850-638-6217
Fax Number	:	850-638-6363

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TRACEY LONG
Credential	:
Telephone Number	:	850-638-6217

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	04/28/2023

Similar Medicare Providers

1306821376 — CHIPLEY DRUGS INC
Practice Location Address:

1330 SOUTH BLVD
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-1040
Practice Fax: 850-638-7016

1780647529 — FLORIDA DEPARTMENT OF HEALTH
Practice Location Address:

1338 SOUTH BLVD
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-6240
Practice Fax: 850-415-5010

1679791420 — DR. CALLIEF SHEREEN SHAND D.D.S.
Practice Location Address:

1338 SOUTH BLVD , DENTAL
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-6240
Practice Fax:

1114108404 — EILEEN MUELLER BRAY ARNP
Practice Location Address:

1338 SOUTH BLVD
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-6240
Practice Fax:

1851527303 — DR. DREW DAVID WHITFORD DMD
Practice Location Address:

1338 SOUTH BLVD
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-6240
Practice Fax:

1467875005 — GLEN CHARLES NOBLES JR. NP-C
Practice Location Address:

1338 SOUTH BLVD
CHIPLEY, FL
32428-1846

Practice Phone: 850-638-6240
Practice Fax: 850-415-5010

Directions to “WASHINGTON COUNTY COUNCIL ON AGING, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.