Chariton Group Home Develop Corp

NPI #1235258658 in Chariton, Iowa

Provider Information

NPI Number
1235258658
Entity Type
Organization
Organization Name
Chariton Group Home Develop Corp
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Mar 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1221 BROOKDALE AVE
State
Iowa
ZIP Code
50049-1531
Phone
(641) 774-8252

Authorized Official

Name
MRS. DONNA JEAN SMALL, BA AND BS IN SECONDA
Title
ADM OF GROUP HOME
Phone
(641) 774-8252

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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