Tipton Adaptive Daycare LLC

NPI #1932475142 in Tipton, Iowa

Provider Information

NPI Number: 1932475142
Entity Type: Organization
Organization Name: Tipton Adaptive Daycare LLC
Primary Specialty: Registered Nurse
Enumeration Date: Apr 2, 2012
Last Updated: Apr 2, 2012

Practice Location

Address: 118 PARKVIEW CT
City: Tipton
State: Iowa
ZIP Code: 52772-1349
Phone: (563) 886-3143

Authorized Official

Name: MRS. DEBORAH LORRAINE VANDERGAAST, RN
Title: OWNER / DIRECTOR
Phone: (563) 886-3143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X
Registered Nurse	163W00000X	Primary

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