Community Care of Knoxville LLC

NPI #1649890146 in Knoxville, Iowa

Provider Information

NPI Number: 1649890146
Entity Type: Organization
Organization Name: Community Care of Knoxville LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 24, 2020
Last Updated: Apr 24, 2020

Practice Location

Address: 205 N IOWA ST
City: Knoxville
State: Iowa
ZIP Code: 50138-2833
Phone: (641) 842-4618

Authorized Official

Name: BRUCE WILLIAM BOEHM JR.
Title: OWNER
Phone: (712) 210-6296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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Provider Name	Specialty	City
MR. Bruce William Boehm JR.	Community Based Residential Treatment Facility, Mental Illness	Knoxville	AI Deep Dive

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