NPI 1114061520
Childserve Community Options, INC.
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
Nursing Care Agency
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.