Childserve Homes Inc.

NPI #1790983021 in Johnston, Iowa

Provider Information

NPI Number
1790983021
Entity Type
Organization
Organization Name
Childserve Homes Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDSERVE INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jul 9, 2007
Last Updated
Jul 23, 2007

Practice Location

Address
5555 NW 55TH AVE
State
Iowa
ZIP Code
50131-1367
Phone
(515) 270-0543

Authorized Official

Name
RODNEY WILDRICK
Title
DIRECTOR OF ACCOUNTING
Phone
(515) 727-1468

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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