NPI 1154469385

Mills County

Organisation Case Management Agency Red Oak, IA

Practice location

Address: 105 Coolbaugh, Red Oak, IA 51566
Phone: (712) 623-6541
Fax: (712) 623-3677
Mailing address: 418 Sharp St, Glenwood, IA 51534

Authorised official

Name: Sara Ketcham
Title: Administrator
Phone: (712) 623-6541

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1154469385
Entity type: Organization
NPI issued: 1 Feb 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.