Whalio Doctors

NPI 1043931090

Community Care of Iowa, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Pleasant Hill, IA

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
Residential Treatment Facilities Taxonomy 320800000X

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.