NPI 1164589180

Department of Human Services Glenwood Resource Center

Organisation Intellectual Disabilities Intermediate Care Facility Glenwood, IA

Practice location

Address: 711 S Vine St, Glenwood, IA 51534-1927
Phone: (712) 527-4811
Fax: (712) 525-1389

Authorised official

Name: Thomas Hoogestraat
Title: Superintendent
Phone: (712) 527-4811

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence I-152 (IA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Iowa →

Registry record

NPI: 1164589180
Entity type: Organization
NPI issued: 2 Jan 2007
Record last updated: 2 Sep 2008

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.