Provider Demographics
NPI:1033265103
Name:DOUGLAS COUNTY SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:DOUGLAS COUNTY SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM DIRECTOR, BUSINESS ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-842-0543
Mailing Address - Street 1:745 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2371
Mailing Address - Country:US
Mailing Address - Phone:785-842-0543
Mailing Address - Fax:785-842-0562
Practice Address - Street 1:745 VERMONT ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2371
Practice Address - Country:US
Practice Address - Phone:785-842-0543
Practice Address - Fax:785-842-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB-023-004261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care