# WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walton Okaloosa Council on Aging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982720769
- **Authorized official:** MRS. SHAYNE BETTS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (859) 892-8165

## Contact information

- **Practice address:** 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435-2308
- **Practice address phone:** (850) 892-8165
- **Practice address fax:** (850) 892-8169
- **Mailing address:** 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435-2308
- **Mailing address phone:** (850) 892-8165
- **Mailing address fax:** (850) 892-8169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 01/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024864900 | — | FL |
| 05 | — | 677320600 | — | FL |