NPI 1104022953

Great River Child Care INC.

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Burlington, IA

Practice location

Address: 639 S Central Ave, Burlington, IA 52601-3946
Phone: (319) 752-0940
Fax: (319) 752-0941

Authorised official

Name: Nancy K Tucker
Title: Owner
Phone: (319) 752-0940

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X Licence 4129000011 (IA)

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Registry record

NPI: 1104022953
Entity type: Organization
NPI issued: 26 Jun 2007
Record last updated: 22 Aug 2020

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.