NPI 1164505756
Cedar Valley Community Support Services
Practice location
- Address
- 3121 Brockway Rd, Waterloo, IA 50701-5103
- Phone
- (319) 233-1288
- Fax
- (319) 233-1461
Authorised official
- Name
- Anize Mamodaly
- Title
- Co-Owner
- Phone
- (319) 233-1288
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1164505756
- Entity type
- Organization
- NPI issued
- 24 Oct 2006
- 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.