Keokuk Area Group Home

NPI #1679779490 in Keokuk, Iowa

Provider Information

NPI Number: 1679779490
Entity Type: Organization
Organization Name: Keokuk Area Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 27, 2007
Last Updated: May 28, 2013

Practice Location

Address: 317 HIGH ST
City: Keokuk
State: Iowa
ZIP Code: 52632-5939
Phone: (319) 524-1871

Authorized Official

Name: MR. CEVIN T COFFIELD
Title: ADMINISTRATOR
Phone: (319) 524-1871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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