NPI 1134261969

Childserve Homes INC.

Organisation Intellectual Disabilities Intermediate Care Facility Johnston, IA

Practice location

Address: 10305 Stonecrest Drive, Johnston, IA 50131
Phone: (515) 986-0554
Fax: (515) 986-0578
Mailing address: PO Box 707, Johnston, IA 50131-0707

Authorised official

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

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 771148 (IA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Iowa →

Registry record

NPI: 1134261969
Entity type: Organization
NPI issued: 12 Feb 2007
Record last updated: 10 Jul 2007

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.