Organization
COLUMBIA COUNTY SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T HUCKABEE (EXECUTIVE DIRECTOR)
(386) 755-0235
Entity
Organization
Contact information
Practice address
628 SE ALLISON CT, LAKE CITY, FL 32025-6101
(386) 755-0235
Mailing address
PO BOX 1772, LAKE CITY, FL 32056-1772
(386) 755-0235
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113652900
—
FL
Enumeration date
07/29/2022
Last updated
07/24/2023
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