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Organization
DESOTO COUNCIL ON AGING, INC.
Active
Organization
DESOTO COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA JONES (EXECUTIVE DIRECTOR)
(318) 872-2691
Entity
Organization
Contact information
Practice address
1015 POLK ST, MANSFIELD, LA 71052-2522
(318) 872-2691
(318) 872-9473
Mailing address
1015 POLK ST, MANSFIELD, LA 71052-2522
(318) 872-2691
(318) 872-9473
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
15058
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393444
—
LA
05
—
1461229
—
LA
05
—
1964352
—
LA
Enumeration date
08/07/2008
Last updated
08/07/2008
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