Department of Human Services Glenwood Resource Center

NPI #1164589180 in Glenwood, Iowa

Provider Information

NPI Number
1164589180
Entity Type
Organization
Organization Name
Department of Human Services Glenwood Resource Center
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 2, 2007
Last Updated
Sep 2, 2008

Practice Location

Address
711 S VINE ST
State
Iowa
ZIP Code
51534-1927
Phone
(712) 527-4811

Authorized Official

Name
MR. THOMAS HOOGESTRAAT
Title
SUPERINTENDENT
Phone
(712) 527-4811

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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