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SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.

Company Details

Entity Name: SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 16 Jun 1971 (54 years ago)
Document Number: 721174
FEI/EIN Number 237097794
Address: 1161 SW HARVEY GREENE DRIVE, MADISON, FL, 32340, US
Mail Address: PO BOX 204, MADISON, FL, 32341, US
ZIP code: 32340
County: Madison
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598022469 2012-04-17 2012-04-17 PO BOX 204, MADISON, FL, 323410204, US 1161 SW HARVEY GREENE DR, MADISON, FL, 323404508, US

Contacts

Phone +1 850-973-4241
Fax 8509734292

Authorized person

Name MS. ROSA RICHARDSON
Role EXECUTIVE DIRECTOR
Phone 8509734241

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
License Number 14945
State FL
Is Primary Yes
Taxonomy Code 302F00000X - Exclusive Provider Organization
License Number 14945
State FL
Is Primary No

Agent

Name Role Address
McQuay Genethel Agent 1161 SW HARVEY GREENE DRIVE, MADISON, FL, 32340

Director

Name Role Address
Moore Ronnie Director 6513 NW Lovett Rd, Greenville, FL, 32331
Townsend Judy Director 413 SW Jordan St, Madison, FL, 32340
Stanley James Director 183 SE Oak Street, Madison, FL, 32340
RAY JAMES Director P. O. BOX 763, MADISON, FL, 32340

President

Name Role Address
PEAVY OPIE President RT. 4 BOX 6012, MADISON, FL, 32340

Exec

Name Role Address
McQuay Genethel Exec PO BOX 204, MADISON, FL, 32341

Events

Event Type Filed Date Value Description
AMENDMENT 2011-04-26 No data No data
CANCEL ADM DISS/REV 2009-12-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
NAME CHANGE AMENDMENT 1984-04-23 SENIOR CITIZENS COUNCIL OF MADISON COUNTY, INC. No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State