Organization
CALDWELL COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOTTIE E ETHERIDGE (EXECUTIVE DIRECTOR)
(318) 649-2584
Entity
Organization
Contact information
Practice address
307 MAIN ST., COLUMBIA, LA 71418-1498
(318) 649-2584
(318) 649-7600
Mailing address
307 MAIN ST., P.O. BOX 1498, COLUMBIA, LA 71418-1498
(318) 649-2584
(318) 649-7600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM2302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548065
—
LA
05
—
1548189
—
LA
05
—
1548201
—
LA
05
—
1964786
—
LA
Enumeration date
04/02/2007
Last updated
08/22/2020
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