NPI 1164565099
Handicap Village
Practice location
- Address
- 1200 N 9th St W, Clear Lake, IA 50428-1100
- Phone
- (641) 357-5277
- Fax
- (641) 357-6491
- Mailing address
- PO Box 622, Clear Lake, IA 50428-0622
Authorised official
- Name
- Gregory J Braun
- Title
- Cfo
- Phone
- (641) 355-1200
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1164565099
- Entity type
- Organization
- NPI issued
- 14 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.