Whalio Doctors

NPI 1114061520

Childserve Community Options, INC.

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

Practice location

Address
5406 Merle Hay Rd, Johnston, IA 50131-1209
Phone
(515) 727-8750
Fax
(515) 727-8757
Mailing address
PO Box 707, Johnston, IA 50131-0707

Authorised official

Name
Rodney Wildrick
Title
Director of Accounting
Phone
(515) 727-1468

Registered specialties (2)

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X
Nursing Care Agency
Agencies Taxonomy 251J00000X

Registry record

NPI
1114061520
Entity type
Organization
NPI issued
18 Feb 2007
Record last updated
1 Sep 2010

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.