Department of Human Services Glenwood Resource Center

NPI #1972650158 in Glenwood, Iowa

Provider Information

NPI Number: 1972650158
Entity Type: Organization
Organization Name: Department of Human Services Glenwood Resource Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 3, 2007
Last Updated: Aug 28, 2008

Practice Location

Address: 711 S VINE ST
City: Glenwood
State: Iowa
ZIP Code: 51534-1927
Phone: (712) 527-4811

Authorized Official

Name: MS. RANDI R CLOYED
Title: TREATMENT SERVICE DIRECTOR
Phone: (712) 525-1395

Specialties & Taxonomy Codes

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

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