# CALDWELL COUNCIL ON AGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346361136
- **Authorized official:** MRS. DOTTIE E ETHERIDGE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 649-2584

## Contact information

- **Practice address:** 307 MAIN ST., COLUMBIA, LA 71418-1498
- **Practice address phone:** (318) 649-2584
- **Practice address fax:** (318) 649-7600
- **Mailing address:** 307 MAIN ST., P.O. BOX 1498, COLUMBIA, LA 71418-1498
- **Mailing address phone:** (318) 649-2584
- **Mailing address fax:** (318) 649-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM2302 | LA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548065 | — | LA |
| 05 | — | 1548189 | — | LA |
| 05 | — | 1548201 | — | LA |
| 05 | — | 1964786 | — | LA |
