Healthcare Provider Details

I. General information

NPI: 1033265103
Provider Name (Legal Business Name): DOUGLAS COUNTY SENIOR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 VERMONT ST
LAWRENCE KS
66044-2371
US

IV. Provider business mailing address

745 VERMONT ST
LAWRENCE KS
66044-2371
US

V. Phone/Fax

Practice location:
  • Phone: 785-842-0543
  • Fax: 785-842-0562
Mailing address:
  • Phone: 785-842-0543
  • Fax: 785-842-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberB-023-004
License Number StateKS

VIII. Authorized Official

Name: MRS. LOIS MEAD
Title or Position: INTERIM DIRECTOR, BUSINESS ADMIN.
Credential:
Phone: 785-842-0543