NPI 1043931090
Community Care of Iowa, LLC
Practice location
- Address
- 4755 Parkridge Ave, Pleasant Hill, IA 50327-7228
- Phone
- (712) 210-6296
- Mailing address
- 508 Westridge Dr, Carroll, IA 51401-3294
Authorised official
- Name
- Bruce Boehm
- Title
- President
- Phone
- (712) 210-6296
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1043931090
- Entity type
- Organization
- NPI issued
- 8 Sep 2022
- Record last updated
- 8 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.