Organization
COLUMBIA COUNTY SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH B. FREEMAN (EXECUTIVE DIRECTOR)
(386) 755-0235
Entity
Organization
Contact information
Practice address
628 SE ALLISON CT, LAKE CITY, FL 32025-6101
(386) 755-0235
(386) 752-8256
Mailing address
PO BOX 1772, LAKE CITY, FL 32056-1772
(386) 755-0235
(386) 752-8256
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024881900
—
FL
05
—
024881902
—
FL
05
—
688862300
—
FL
Enumeration date
05/29/2007
Last updated
09/10/2010
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