# DESOTO COUNCIL ON THE AGING, INC.

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

## Provider details

- **NPI number:** 1649474529
- **Authorized official:** MRS. MARTHA B JONES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 872-0671

## Contact information

- **Practice address:** 1004 POLK ST, MANSFIELD, LA 71052-2523
- **Practice address phone:** (318) 872-0671
- **Practice address fax:** (318) 872-9473
- **Mailing address:** 1004 POLK ST, MANSFIELD, LA 71052-2523
- **Mailing address phone:** (318) 872-0671
- **Mailing address fax:** (318) 872-9473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1964352 | — | LA |