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CHILDSERVE HOMES INC.

Intermediate Care Mentally Retarded

Windsor Heights, Iowa

Provider NPI: 1043352875

Organization Information:
Organization Name:  CHILDSERVE HOMES INC.
Organization is Subpart
Authorized Official:  RODNEY  WILDRICK  DIRECTOR OF ACCOUNTING  515-7271468

Practice Location:
7161 WILSHIRE BLVD  WINDSOR HEIGHTS, IA 50322 US
Tel: 515-276-3612  Fax: 515-331-7706

Business Mailing Address:
PO BOX 707  JOHNSTON, IA 50131 US
Tel: 515-727-8750  Fax: 515-727-8757

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
IA771147

Other Provider Identifiers:

IssuerNumberStateType
0882100IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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