NPI 1104263920

Clay County Case Management

Organisation Case Management Agency Spencer, IA

Practice location

Address: 215 W 4th St Suite 6, Spencer, IA 51301-3860
Phone: (712) 262-9438

Authorised official

Name: Kimberly S Wilson
Title: Case Management Administrator
Phone: (712) 262-9438

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 0082966 (IA)

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Registry record

NPI: 1104263920
Entity type: Organization
NPI issued: 3 Jun 2013
Record last updated: 3 Jun 2013

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.