New Venture Group Home

NPI #1164631214 in Corydon, Iowa

Provider Information

NPI Number: 1164631214
Entity Type: Organization
Organization Name: New Venture Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 22, 2007
Last Updated: Aug 1, 2008

Practice Location

Address: 401 S WASHINGTON ST
City: Corydon
State: Iowa
ZIP Code: 50060-1745
Phone: (641) 872-1524

Authorized Official

Name: MENDY MIDDLEBROOK, BA
Title: TEMPORARY ADMINISTRATOR
Phone: (641) 872-1524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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